Repair Request Form

Important Note:
A photo must be included with each repair request before the repair request can be processed.

Dealer Information

Dealer #:*

Dealer Name:*

Phone Number:*

Submitted By:*

Email:*

Customer Information

Customer Name:*

Customer Email:*

Street:*

City:*

State:

Zip Code:*

Phone:*

Pool Information

Pool Model:*

Pool Color:*

Date Installed:*

Issue:*

Nature of Problem:*

Have you been to look at the issue?:*

Current Water Level:*

Does Pool Have Well Points Installed?*

Does Pool Have A Water Inspection Port?*

Is The Pool Loosing Water?*

Has There Been A Lot Of Rain?*

Has The Customer Drained Water From Pool?*

Note: If pool is losing water notify your customer it must be patch immediately with plumbers putty or ring wax to stop leak. Advise customer that we will notify you with tentative repair date.