Title Page
-
Add location
-
Select date
-
Manufacturer:
-
Model:
-
SEDBUK Rating an efficiency:
-
Screen shot from SEDBUK,or equivalent website
-
Fuel Type:
-
Year of Commissioning:
-
Age of Boiler:
-
State how you have established year of commissioning/age (e.g. Servicing sticker, customer documents etc.)
-
Is the boiler a combination boiler:
-
Is the boiler connected to a functioning domestic heating system:
-
Faults with the boiler, please be as specific as you cam:
-
Is the boiler broken down:
-
If no to the above, have the faults identified affected the performance of the boiler so that it is not functionally efficiently:
-
What steps did you take to reach this diagnosis/conclusion (visual is not sufficient)
-
Only fill in this section if the boiler is above 86%
-
GC Number:
-
Serial number with prefix:
-
Details of repair parts so that technical can generate a repair quote:
-
Add signature
