RMR - Formstack

Return Material / Labor Allowance Requisition

(Please check appropriate box)*

RMR ONLY LAR ONLY BOTH

Dealer Information

Submitting Dealer*

Not listed? Choose "Other - not listed"

Submitting Dealer (Other)*

Distributor*

Reference Number

Installed By

Dealer Listed Above

Installing Company*

Entered by:*

Email*

A confirmation email will be sent to this address

1st Collector

Product Type (Collector 1)*

Ecosun Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

Breeze Product Size*

Serial NO.*

Manufacture Date

Product was:*

Repaired Replaced

Is Credit or Replacement Requested?*

Credit Replacement

Product Replaced with*

Replacement Serial NO.*

Ecosun Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Breeze Product Size*

Ultrasun Product Size*

1st COLLECTOR

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)*

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)
	1	2	3	4	5	6	7	8	9
Check All That Apply	Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak): Check All That Apply (1)	Check All That Apply (2)	Check All That Apply (3)	Check All That Apply (4)	Check All That Apply (5)	Check All That Apply (6)	Check All That Apply (7)	Check All That Apply (8)	Check All That Apply (9)

Other:

Photo (Collector #1)

No File Chosen

File uploads may not work on some mobile devices.

2nd Collector

Product Type (Collector 2)*

Ecosun Product Size*

SI Product Size*

Sunswim Product Size*

Breeze Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

Serial NO.*

Manufacture Date

Product was:*

Repaired Replaced

Is Credit or Replacement Requested?*

Credit Replacement

Product Replaced With*

Replacement Serial NO.*

Ecosun Product Size*

Breeze Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

2nd COLLECTOR

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)*

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)
	1	2	3	4	5	6	7	8	9
Check All That Apply	Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak): Check All That Apply (1)	Check All That Apply (2)	Check All That Apply (3)	Check All That Apply (4)	Check All That Apply (5)	Check All That Apply (6)	Check All That Apply (7)	Check All That Apply (8)	Check All That Apply (9)

Other:

Photo (Collector #2)

No File Chosen

File uploads may not work on some mobile devices.

3rd Collector

Product Type (Collector 3)*

Ecosun Product Size*

Breeze Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

Serial NO.*

Manufacture Date

Product was:*

Repaired Replaced

Is Credit or Replacement Requested?

Credit Replacement

Product Replaced With*

Replacement Serial NO.*

Ecosun Product Size*

Breeze Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

3rd COLLECTOR

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)*

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)
	1	2	3	4	5	6	7	8	9
Check All That Apply	Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak): Check All That Apply (1)	Check All That Apply (2)	Check All That Apply (3)	Check All That Apply (4)	Check All That Apply (5)	Check All That Apply (6)	Check All That Apply (7)	Check All That Apply (8)	Check All That Apply (9)

Other:

Photo (Collector #3)

No File Chosen

File uploads may not work on some mobile devices.

4th Collector

Product Type (Collector 4)*

Ecosun Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

Serial NO.*

Manufacture Date

Product was:*

Repaired Replaced

Is Credit or Replacement Requested?*

Credit Replacement

Product Replaced With*

Replacement Serial NO.*

Ecosun Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

4TH COLLECTOR

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)*

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)
	1	2	3	4	5	6	7	8	9
Check All That Apply	Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak): Check All That Apply (1)	Check All That Apply (2)	Check All That Apply (3)	Check All That Apply (4)	Check All That Apply (5)	Check All That Apply (6)	Check All That Apply (7)	Check All That Apply (8)	Check All That Apply (9)

Other:

Photo (Collector #4)

No File Chosen

File uploads may not work on some mobile devices.

5th Collector

Product Type (Collector 5)*

Ecosun Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

Serial NO.*

Manufacture Date

Product was:*

Repaired Replaced

Is Credit or Replacement Requested?*

Credit Replacement

Product Replaced With*

Replacement Serial NO.*

Ecosun Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

5TH COLLECTOR

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)*

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)
	1	2	3	4	5	6	7	8	9
Check All That Apply	Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak): Check All That Apply (1)	Check All That Apply (2)	Check All That Apply (3)	Check All That Apply (4)	Check All That Apply (5)	Check All That Apply (6)	Check All That Apply (7)	Check All That Apply (8)	Check All That Apply (9)

Other:

File

No File Chosen

File uploads may not work on some mobile devices.

6th Collector

----------- 6-------------------------------------------

Sunday

Product Type (Collector 6)*

Ecosun Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

Serial NO.*

Manufacture Date

Product was:*

Repaired Replaced

Is Credit or Replacement Requested?*

Credit Replacement

Product Replaced With*

Replacement Serial NO.*

Ecosun Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

6TH COLLECTOR

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)*

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)
	1	2	3	4	5	6	7	8	9
Check All That Apply	Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak): Check All That Apply (1)	Check All That Apply (2)	Check All That Apply (3)	Check All That Apply (4)	Check All That Apply (5)	Check All That Apply (6)	Check All That Apply (7)	Check All That Apply (8)	Check All That Apply (9)

Other:

Photo (Collector #6)

No File Chosen

File uploads may not work on some mobile devices.

7th Collector

--------------7 --------------------------------------------

Sunday

Product Type (Collector 7)*

Ecosun Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

Serial NO.*

Manufacture Date

Product was:*

Repaired Replaced

Is Credit or Replacement Requested?*

Credit Replacement

Product Replaced With*

Replacement Serial NO.*

Ecosun Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

7TH COLLECTOR

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)*

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)
	1	2	3	4	5	6	7	8	9
Check All That Apply	Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak): Check All That Apply (1)	Check All That Apply (2)	Check All That Apply (3)	Check All That Apply (4)	Check All That Apply (5)	Check All That Apply (6)	Check All That Apply (7)	Check All That Apply (8)	Check All That Apply (9)

Other:

Photo (Collector #7)

No File Chosen

File uploads may not work on some mobile devices.

8th Collector

-------------- 8-----------------------------------

Sunday

Product Type (Collector 8)*

Ecosun Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

Serial NO.*

Manufacture Date

Product was:*

Repaired Replaced

Is Credit or Replacement Requested?*

Credit Replacement

Product Replaced With*

Replacement Serial NO.*

Ecosun Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

8TH COLLECTOR

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)*

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)
	1	2	3	4	5	6	7	8	9
Check All That Apply	Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak): Check All That Apply (1)	Check All That Apply (2)	Check All That Apply (3)	Check All That Apply (4)	Check All That Apply (5)	Check All That Apply (6)	Check All That Apply (7)	Check All That Apply (8)	Check All That Apply (9)

Other:

Photo (Collector #8)

No File Chosen

File uploads may not work on some mobile devices.

9th Collector

---------- 9-------------------------

Sunday

Product Type (Collector 9)*

Ecosun Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

Serial NO.*

Manufacture Date

Product was:*

Repaired Replaced

Is Credit or Replacement Requested?*

Credit Replacement

Product Replaced With*

Replacement Serial NO.*

Ecosun Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

9TH COLLECTOR

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)*

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)
	1	2	3	4	5	6	7	8	9
Check All That Apply	Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak): Check All That Apply (1)	Check All That Apply (2)	Check All That Apply (3)	Check All That Apply (4)	Check All That Apply (5)	Check All That Apply (6)	Check All That Apply (7)	Check All That Apply (8)	Check All That Apply (9)

Other:

Photo (Collector #9)

No File Chosen

File uploads may not work on some mobile devices.

10th Collector

-------------10-----------------------------------

Sunday

Product Type (Collector 10)*

Ecosun Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

Serial NO.*

Manufacture Date

Product was:*

Repaired Replaced

Is Credit or Replacement Requested?*

Credit Replacement

Product Replaced With*

Replacement Serial NO.*

Ecosun Product Size*

SI Product Size*

Sunswim Product Size*

SunSwim Plus Product Size*

SunSwim XT Product Size*

Ultraswim Product Size*

Ultrasun Product Size*

10TH COLLECTOR

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)*

Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak)
	1	2	3	4	5	6	7	8	9
Check All That Apply	Select the Location of Collector Defect, (1 -6 = Header Leaks) ( 7-9= Tube Leak): Check All That Apply (1)	Check All That Apply (2)	Check All That Apply (3)	Check All That Apply (4)	Check All That Apply (5)	Check All That Apply (6)	Check All That Apply (7)	Check All That Apply (8)	Check All That Apply (9)

Other:

Photo (Collector #10)

No File Chosen

File uploads may not work on some mobile devices.

Labor Request Summary

This is determined by if a collector was repaired or replaced

Service Ticket (if Labor Allowance Requisition)*

No File Chosen

File uploads may not work on some mobile devices.

FOR OFFICE USE ONLY