1. Contact Information
  2. Verify & Submit
  3. Confirmation

Please Note: This form should not be used to report gas emergencies. If you suspect a natural gas leak, leave your home immediately, go to a safe location and call our natural gas leak hotline at 800-889-4970.

Contact Information

Required Field  = Required Fields










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Appointment Information

If you are not a ServiceChoice Appliance Protection Plan customer, a minimum trip charge and diagnostic fee of $89.95 will apply.

(Save 10% off up to $75.00 on this repair when you sign-up for a ServiceChoice Appliance Protection Plan. Please call 800-889-3479 to signup now.)




Equipment/Appliance Information

Please indicate the type of equipment or appliance that that you'd like to have repaired or inspected.












Question/Comment

For immediate scheduling please call 800-889-3479 24-hours a day, 7 days a week.