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Buderus Home Owners Professionals Products Support
Professionals Warranty Claim Forms For Wholesalers ONLY Boiler Claim Form

Buderus Boiler Claim Form
This form must be completed in full to start the claim process.
 
Customer Reference Number:
 
Distributor:*
Address:* City:*
State:* ZIP Code:*
Contact person:*
Phone:* Fax:*
Email:*
 
Contractor Name:*
Contractor Address:* Contractor City:*
Contractor State:* Contractor ZIP Code:*
 
Home Owner Name:*
Home Owner Address:* Home Owner Zip:*
Oil:* Gas:*
Model number:*
Serial number:*
Installation Date:*
Description of claim:*
GB142 Error Code (If applicable):