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  1. <!-- FORM: HEAD SECTION -->
  2.  
  3. <meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
  4. <script type="text/javascript">
  5. document.addEventListener("DOMContentLoaded", function(){
  6. const FORM_TIME_START = Math.floor((new Date).getTime()/1000);
  7. let formElement = document.getElementById("tfa_0");
  8. if (null === formElement) {
  9. formElement = document.getElementById("0");
  10. }
  11. let appendJsTimerElement = function(){
  12. let formTimeDiff = Math.floor((new Date).getTime()/1000) - FORM_TIME_START;
  13. let cumulatedTimeElement = document.getElementById("tfa_dbCumulatedTime");
  14. if (null !== cumulatedTimeElement) {
  15. let cumulatedTime = parseInt(cumulatedTimeElement.value);
  16. if (null !== cumulatedTime && cumulatedTime > 0) {
  17. formTimeDiff += cumulatedTime;
  18. }
  19. }
  20. let jsTimeInput = document.createElement("input");
  21. jsTimeInput.setAttribute("type", "hidden");
  22. jsTimeInput.setAttribute("value", formTimeDiff.toString());
  23. jsTimeInput.setAttribute("name", "tfa_dbElapsedJsTime");
  24. jsTimeInput.setAttribute("id", "tfa_dbElapsedJsTime");
  25. jsTimeInput.setAttribute("autocomplete", "off");
  26. if (null !== formElement) {
  27. formElement.appendChild(jsTimeInput);
  28. }
  29. };
  30. if (null !== formElement) {
  31. if(formElement.addEventListener){
  32. formElement.addEventListener('submit', appendJsTimerElement, false);
  33. } else if(formElement.attachEvent){
  34. formElement.attachEvent('onsubmit', appendJsTimerElement);
  35. }
  36. }
  37. });
  38. </script>
  39.  
  40. <link href="https://www.tfaforms.com/dist/form-builder/5.0.0/wforms-layout.css?v=548-1" rel="stylesheet" type="text/css" />
  41.  
  42. <link href="https://www.tfaforms.com/uploads/themes/theme-56119.css" rel="stylesheet" type="text/css" />
  43. <link href="https://www.tfaforms.com/dist/form-builder/5.0.0/wforms-jsonly.css?v=548-1" rel="alternate stylesheet" title="This stylesheet activated by javascript" type="text/css" />
  44. <script type="text/javascript" src="https://www.tfaforms.com/wForms/3.11/js/wforms.js?v=548-1"></script>
  45. <script type="text/javascript">
  46. wFORMS.behaviors.prefill.skip = false;
  47. </script>
  48. <script type="text/javascript" src="https://www.tfaforms.com/wForms/3.11/js/localization-en_US.js?v=548-1"></script>
  49.  
  50. <!-- FORM: BODY SECTION -->
  51. <div class="wFormContainer" >
  52. <div class="wFormHeader"></div>
  53. <style type="text/css">
  54. .wformcontainer {
  55. font-family: "Helvetica Neue",arial,sans-serif;
  56. }
  57. #tfa_1,
  58. *[id^="tfa_1["] {
  59. width: 200px !important;
  60. }
  61. #tfa_1-D,
  62. *[id^="tfa_1["][class~="field-container-D"] {
  63. width: auto !important;
  64. }
  65.  
  66. #tfa_2,
  67. *[id^="tfa_2["] {
  68. width: 200px !important;
  69. }
  70. #tfa_2-D,
  71. *[id^="tfa_2["][class~="field-container-D"] {
  72. width: auto !important;
  73. }
  74.  
  75. #tfa_4,
  76. *[id^="tfa_4["] {
  77. width: 200px !important;
  78. }
  79. #tfa_4-D,
  80. *[id^="tfa_4["][class~="field-container-D"] {
  81. width: auto !important;
  82. }
  83.  
  84. #tfa_5,
  85. *[id^="tfa_5["] {
  86. width: 200px !important;
  87. }
  88. #tfa_5-D,
  89. *[id^="tfa_5["][class~="field-container-D"] {
  90. width: auto !important;
  91. }
  92.  
  93. #tfa_7,
  94. *[id^="tfa_7["] {
  95. width: 200px !important;
  96. }
  97. #tfa_7-D,
  98. *[id^="tfa_7["][class~="field-container-D"] {
  99. width: auto !important;
  100. }
  101.  
  102. #tfa_6,
  103. *[id^="tfa_6["] {
  104. width: 200px !important;
  105. }
  106. #tfa_6-D,
  107. *[id^="tfa_6["][class~="field-container-D"] {
  108. width: auto !important;
  109. }
  110.  
  111. #tfa_9,
  112. *[id^="tfa_9["] {
  113. width: 200px !important;
  114. }
  115. #tfa_9-D,
  116. *[id^="tfa_9["][class~="field-container-D"] {
  117. width: auto !important;
  118. }
  119.  
  120. #tfa_10,
  121. *[id^="tfa_10["] {
  122. width: 200px !important;
  123. }
  124. #tfa_10-D,
  125. *[id^="tfa_10["][class~="field-container-D"] {
  126. width: auto !important;
  127. }
  128.  
  129. #tfa_8,
  130. *[id^="tfa_8["] {
  131. width: 200px !important;
  132. }
  133. #tfa_8-D,
  134. *[id^="tfa_8["][class~="field-container-D"] {
  135. width: auto !important;
  136. }
  137.  
  138. #tfa_11,
  139. *[id^="tfa_11["] {
  140. width: 200px !important;
  141. }
  142. #tfa_11-D,
  143. *[id^="tfa_11["][class~="field-container-D"] {
  144. width: auto !important;
  145. }
  146.  
  147. #tfa_89,
  148. *[id^="tfa_89["] {
  149. width: 200px !important;
  150. }
  151. #tfa_89-D,
  152. *[id^="tfa_89["][class~="field-container-D"] {
  153. width: auto !important;
  154. }
  155.  
  156. #tfa_12,
  157. *[id^="tfa_12["] {
  158. width: 200px !important;
  159. }
  160. #tfa_12-D,
  161. *[id^="tfa_12["][class~="field-container-D"] {
  162. width: auto !important;
  163. }
  164.  
  165. #tfa_71,
  166. *[id^="tfa_71["] {
  167. width: 200px !important;
  168. }
  169. #tfa_71-D,
  170. *[id^="tfa_71["][class~="field-container-D"] {
  171. width: auto !important;
  172. }
  173. </style><div class=""><div class="wForm" id="4756929-WRPR" dir="ltr">
  174. <div class="codesection" id="code-4756929"></div>
  175. <h3 class="wFormTitle" id="4756929-T">Technical Support Form</h3>
  176. <form method="post" action="https://www.tfaforms.com/responses/processor" class="hintsBelow labelsAbove" id="4756929" role="form" enctype="multipart/form-data">
  177. <fieldset id="tfa_86" class="section">
  178. <legend id="tfa_86-L">Account info</legend>
  179. <div id="tfa_87" class="section inline group">
  180. <div class="oneField field-container-D " id="tfa_1-D">
  181. <label id="tfa_1-L" class="label preField reqMark" for="tfa_1">Account Name</label><br><div class="inputWrapper"><input type="text" id="tfa_1" name="tfa_1" value="" aria-required="true" title="Account Name" data-dataset-allow-free-responses="" class="required"></div>
  182. </div>
  183. <div class="oneField field-container-D " id="tfa_2-D">
  184. <label id="tfa_2-L" class="label preField " for="tfa_2">Account Number</label><br><div class="inputWrapper"><input type="text" id="tfa_2" name="tfa_2" value="" title="Account Number" data-dataset-allow-free-responses="" class=""></div>
  185. </div>
  186. <div class="oneField field-container-D " id="tfa_4-D">
  187. <label id="tfa_4-L" class="label preField " for="tfa_4">Main Office Phone #</label><br><div class="inputWrapper"><input type="text" id="tfa_4" name="tfa_4" value="" title="Main Office Phone #" data-dataset-allow-free-responses="" class=""></div>
  188. </div>
  189. </div>
  190. </fieldset>
  191. <fieldset id="tfa_84" class="section">
  192. <legend id="tfa_84-L">Contact Information</legend>
  193. <div id="tfa_85" class="section inline group">
  194. <div class="oneField field-container-D " id="tfa_5-D">
  195. <label id="tfa_5-L" class="label preField reqMark" for="tfa_5">Contact Name</label><br><div class="inputWrapper"><input type="text" id="tfa_5" name="tfa_5" value="" aria-required="true" title="Contact Name" data-dataset-allow-free-responses="" class="required"></div>
  196. </div>
  197. <div class="oneField field-container-D " id="tfa_7-D">
  198. <label id="tfa_7-L" class="label preField reqMark" for="tfa_7">Email</label><br><div class="inputWrapper"><input type="text" id="tfa_7" name="tfa_7" value="" aria-required="true" title="Email" data-dataset-allow-free-responses="" class="required"></div>
  199. </div>
  200. <div class="oneField field-container-D " id="tfa_6-D">
  201. <label id="tfa_6-L" class="label preField " for="tfa_6">Contact Phone #</label><br><div class="inputWrapper"><input type="text" id="tfa_6" name="tfa_6" value="" title="Contact Phone #" data-dataset-allow-free-responses="" class=""></div>
  202. </div>
  203. </div>
  204. </fieldset>
  205. <fieldset id="tfa_77" class="repeat section">
  206. <legend id="tfa_77-L">Product Information</legend>
  207. <div id="tfa_80" class="section inline group">
  208. <div class="oneField field-container-D " id="tfa_9-D">
  209. <label id="tfa_9-L" class="label preField reqMark" for="tfa_9">Equipment Model #</label><br><div class="inputWrapper"><input type="text" id="tfa_9" name="tfa_9" value="" aria-required="true" title="Equipment Model #" data-dataset-allow-free-responses="" class="required"></div>
  210. </div>
  211. <div class="oneField field-container-D " id="tfa_10-D">
  212. <label id="tfa_10-L" class="label preField " for="tfa_10">Equipment Serial #</label><br><div class="inputWrapper"><input type="text" id="tfa_10" name="tfa_10" value="" title="Equipment Serial #" data-dataset-allow-free-responses="" class=""></div>
  213. </div>
  214. <div class="oneField field-container-D " id="tfa_8-D">
  215. <label id="tfa_8-L" class="label preField " for="tfa_8">Product Brand</label><br><div class="inputWrapper"><input type="text" id="tfa_8" name="tfa_8" value="" title="Product Brand" data-dataset-allow-free-responses="" class=""></div>
  216. </div>
  217. </div>
  218. </fieldset>
  219. <fieldset id="tfa_78" class="section">
  220. <legend id="tfa_78-L">Address Information</legend>
  221. <div id="tfa_79" class="section inline group">
  222. <div class="oneField field-container-D " id="tfa_11-D">
  223. <label id="tfa_11-L" class="label preField " for="tfa_11">Address</label><br><div class="inputWrapper"><input type="text" id="tfa_11" name="tfa_11" value="" title="Address" data-dataset-allow-free-responses="" class=""></div>
  224. </div>
  225. <div class="oneField field-container-D " id="tfa_89-D">
  226. <label id="tfa_89-L" class="label preField " for="tfa_89">City</label><br><div class="inputWrapper"><input type="text" id="tfa_89" name="tfa_89" value="" title="City" data-dataset-allow-free-responses="" class=""></div>
  227. </div>
  228. <div class="oneField field-container-D " id="tfa_12-D">
  229. <label id="tfa_12-L" class="label preField " for="tfa_12">State</label><br><div class="inputWrapper"><select id="tfa_12" name="tfa_12" title="State" class=""><option value="">Please select...</option>
  230. <option value="tfa_13" id="tfa_13" class="">Alabama</option>
  231. <option value="tfa_14" id="tfa_14" class="">Alaska</option>
  232. <option value="tfa_15" id="tfa_15" class="">Arizona</option>
  233. <option value="tfa_16" id="tfa_16" class="">Arkansas</option>
  234. <option value="tfa_17" id="tfa_17" class="">California</option>
  235. <option value="tfa_18" id="tfa_18" class="">Colorado</option>
  236. <option value="tfa_19" id="tfa_19" class="">Connecticut</option>
  237. <option value="tfa_20" id="tfa_20" class="">Delaware</option>
  238. <option value="tfa_21" id="tfa_21" class="">District Of Columbia</option>
  239. <option value="tfa_22" id="tfa_22" class="">Florida</option>
  240. <option value="tfa_23" id="tfa_23" class="">Georgia</option>
  241. <option value="tfa_24" id="tfa_24" class="">Hawaii</option>
  242. <option value="tfa_25" id="tfa_25" class="">Idaho</option>
  243. <option value="tfa_26" id="tfa_26" class="">Illinois</option>
  244. <option value="tfa_27" id="tfa_27" class="">Indiana</option>
  245. <option value="tfa_28" id="tfa_28" class="">Iowa</option>
  246. <option value="tfa_29" id="tfa_29" class="">Kansas</option>
  247. <option value="tfa_30" id="tfa_30" class="">Kentucky</option>
  248. <option value="tfa_31" id="tfa_31" class="">Louisiana</option>
  249. <option value="tfa_32" id="tfa_32" class="">Maine</option>
  250. <option value="tfa_33" id="tfa_33" class="">Maryland</option>
  251. <option value="tfa_34" id="tfa_34" class="">Massachusetts</option>
  252. <option value="tfa_35" id="tfa_35" class="">Michigan</option>
  253. <option value="tfa_36" id="tfa_36" class="">Minnesota</option>
  254. <option value="tfa_37" id="tfa_37" class="">Mississippi</option>
  255. <option value="tfa_38" id="tfa_38" class="">Missouri</option>
  256. <option value="tfa_39" id="tfa_39" class="">Montana</option>
  257. <option value="tfa_40" id="tfa_40" class="">Nebraska</option>
  258. <option value="tfa_41" id="tfa_41" class="">Nevada</option>
  259. <option value="tfa_42" id="tfa_42" class="">New Hampshire</option>
  260. <option value="tfa_43" id="tfa_43" class="">New Jersey</option>
  261. <option value="tfa_44" id="tfa_44" class="">New Mexico</option>
  262. <option value="tfa_45" id="tfa_45" class="">New York</option>
  263. <option value="tfa_46" id="tfa_46" class="">North Carolina</option>
  264. <option value="tfa_47" id="tfa_47" class="">North Dakota</option>
  265. <option value="tfa_48" id="tfa_48" class="">Ohio</option>
  266. <option value="tfa_49" id="tfa_49" class="">Oklahoma</option>
  267. <option value="tfa_50" id="tfa_50" class="">Oregon</option>
  268. <option value="tfa_51" id="tfa_51" class="">Pennsylvania</option>
  269. <option value="tfa_52" id="tfa_52" class="">Rhode Island</option>
  270. <option value="tfa_53" id="tfa_53" class="">South Carolina</option>
  271. <option value="tfa_54" id="tfa_54" class="">South Dakota</option>
  272. <option value="tfa_55" id="tfa_55" class="">Tennessee</option>
  273. <option value="tfa_56" id="tfa_56" class="">Texas</option>
  274. <option value="tfa_57" id="tfa_57" class="">Utah</option>
  275. <option value="tfa_58" id="tfa_58" class="">Vermont</option>
  276. <option value="tfa_59" id="tfa_59" class="">Virginia</option>
  277. <option value="tfa_60" id="tfa_60" class="">Washington</option>
  278. <option value="tfa_61" id="tfa_61" class="">West Virginia</option>
  279. <option value="tfa_62" id="tfa_62" class="">Wisconsin</option>
  280. <option value="tfa_63" id="tfa_63" class="">Wyoming</option>
  281. <option value="tfa_64" id="tfa_64" class="">Puerto Rico</option>
  282. <option value="tfa_65" id="tfa_65" class="">Virgin Island</option>
  283. <option value="tfa_66" id="tfa_66" class="">Northern Mariana Islands</option>
  284. <option value="tfa_67" id="tfa_67" class="">Guam</option>
  285. <option value="tfa_68" id="tfa_68" class="">American Samoa</option>
  286. <option value="tfa_69" id="tfa_69" class="">Palau</option></select></div>
  287. </div>
  288. <div class="oneField field-container-D " id="tfa_71-D">
  289. <label id="tfa_71-L" class="label preField " for="tfa_71">ZIP Code</label><br><div class="inputWrapper"><input type="text" id="tfa_71" name="tfa_71" value="" title="ZIP Code" data-dataset-allow-free-responses="" class=""></div>
  290. </div>
  291. </div>
  292. </fieldset>
  293. <fieldset id="tfa_82" class="section">
  294. <legend id="tfa_82-L">Request</legend>
  295. <div id="tfa_83" class="section inline group">
  296. <div class="oneField field-container-D " id="tfa_81-D">
  297. <label id="tfa_81-L" class="label preField reqMark" for="tfa_81">Description of Request</label><br><div class="inputWrapper"><textarea aria-required="true" id="tfa_81" name="tfa_81" title="Description of Issue" class="required"></textarea></div>
  298. </div>
  299. <div class="oneField field-container-D " id="tfa_74-D">
  300. <label id="tfa_74-L" class="label preField " for="tfa_74">Attachments (30 MB Max)</label><br><div class="inputWrapper"><input type="file" id="tfa_74" name="tfa_74" size="" title="Attachments" class=""></div>
  301. </div>
  302. </div>
  303. <div class="oneField field-container-D " id="tfa_73-D">
  304. <label id="tfa_73-L" class="label preField " for="tfa_73">Fault Code</label><br><div class="inputWrapper"><select id="tfa_73" name="tfa_73" title="Fault Code" class=""><option value="">Please select...</option>
  305. <option value="tfa_93" id="tfa_93" class="">Abnormal Operating Pressure</option>
  306. <option value="tfa_94" id="tfa_94" class="">Compressor Failure</option>
  307. <option value="tfa_95" id="tfa_95" class="">Control Board Failure</option>
  308. <option value="tfa_96" id="tfa_96" class="">Controls Commissioning</option>
  309. <option value="tfa_97" id="tfa_97" class="">Controls Site Visit</option>
  310. <option value="tfa_98" id="tfa_98" class="">Defrost Board Failure</option>
  311. <option value="tfa_99" id="tfa_99" class="">Economizer Issue</option>
  312. <option value="tfa_100" id="tfa_100" class="">Failed Heat Exchanger</option>
  313. <option value="tfa_101" id="tfa_101" class="">Fan Motor Failure</option>
  314. <option value="tfa_102" id="tfa_102" class="">Fault Code Diagnostics</option>
  315. <option value="tfa_103" id="tfa_103" class="">Gas &amp; TXV Valve Failure</option>
  316. <option value="tfa_104" id="tfa_104" class="">Gas Furnace Diagnostics</option>
  317. <option value="tfa_105" id="tfa_105" class="">Ignition Module</option>
  318. <option value="tfa_106" id="tfa_106" class="">Inducer Failure</option>
  319. <option value="tfa_107" id="tfa_107" class="">Infinity/Evolution Zoning</option>
  320. <option value="tfa_108" id="tfa_108" class="">Installation Problems</option>
  321. <option value="tfa_109" id="tfa_109" class="">Insufficient Heat</option>
  322. <option value="tfa_110" id="tfa_110" class="">Insufficient Cool</option>
  323. <option value="tfa_111" id="tfa_111" class="">Leaking Condenser</option>
  324. <option value="tfa_112" id="tfa_112" class="">Leaking Evaporator</option>
  325. <option value="tfa_113" id="tfa_113" class="">Literature Request</option>
  326. <option value="tfa_114" id="tfa_114" class="">Noisy Unit</option>
  327. <option value="tfa_115" id="tfa_115" class="">Parts Inquiry</option>
  328. <option value="tfa_116" id="tfa_116" class="">Product Data Inquiry</option>
  329. <option value="tfa_117" id="tfa_117" class="">Refrigeration Circuit</option>
  330. <option value="tfa_118" id="tfa_118" class="">Restriction</option>
  331. <option value="tfa_119" id="tfa_119" class="">Seibel (Homeowner) Case</option>
  332. <option value="tfa_120" id="tfa_120" class="">Sensor Failure</option>
  333. <option value="tfa_121" id="tfa_121" class="">Sequence of Operations</option>
  334. <option value="tfa_122" id="tfa_122" class="">Service &amp; Maintenance</option>
  335. <option value="tfa_123" id="tfa_123" class="">Site Visit Request</option>
  336. <option value="tfa_124" id="tfa_124" class="">Transformer Failure</option>
  337. <option value="tfa_125" id="tfa_125" class="">T-Stat Configuration</option>
  338. <option value="tfa_126" id="tfa_126" class="">Unit Configuration</option>
  339. <option value="tfa_127" id="tfa_127" class="">Unit Damage</option>
  340. <option value="tfa_128" id="tfa_128" class="">VRF Control Commissioning</option>
  341. <option value="tfa_129" id="tfa_129" class="">VRF Equipment Commissioning</option>
  342. <option value="tfa_130" id="tfa_130" class="">VRF Site Visit</option>
  343. <option value="tfa_131" id="tfa_131" class="">Warranty Inquiry</option>
  344. <option value="tfa_132" id="tfa_132" class="">Wiring Schematic Issue</option>
  345. <option value="tfa_133" id="tfa_133" class="">ZOOM Site Visit</option></select></div>
  346. </div>
  347. </fieldset>
  348. <div class="oneField field-container-D wf-acl-hidden" id="tfa_90-D">
  349. <label id="tfa_90-L" class="label preField " for="tfa_90">Region Code</label><br><div class="inputWrapper"><input type="text" id="tfa_90" name="tfa_90" value="1NE" title="Region Code" data-dataset-allow-free-responses="" class=""></div>
  350. </div>
  351. <div class="oneField field-container-D wf-acl-hidden" id="tfa_92-D">
  352. <label id="tfa_92-L" class="label preField " for="tfa_92">Owner Queue ID</label><br><div class="inputWrapper"><input type="text" id="tfa_92" name="tfa_92" value="00G2G000003seUIUAY" title="Owner Queue ID" data-dataset-allow-free-responses="" class=""></div>
  353. </div>
  354. <div class="actions" id="4756929-A"><input type="submit" data-label="Submit" class="primaryAction" id="submit_button" value="Submit"></div>
  355. <div style="clear:both"></div>
  356. <input type="hidden" value="4756929" name="tfa_dbFormId" id="tfa_dbFormId"><input type="hidden" value="" name="tfa_dbResponseId" id="tfa_dbResponseId"><input type="hidden" value="dd2f56dd370d552589804430572ae88f" name="tfa_dbControl" id="tfa_dbControl"><input type="hidden" value="11" name="tfa_dbVersionId" id="tfa_dbVersionId"><input type="hidden" value="" name="tfa_switchedoff" id="tfa_switchedoff">
  357. </form>
  358. </div></div><div class="wFormFooter"><p class="supportInfo"><a target="new" class="contactInfoLink" href="https://www.tfaforms.com/forms/help/4756929">Contact Information</a><br></p></div>
  359. <p class="supportInfo" >
  360.  
  361.  
  362. </p>
  363. </div>
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