Service Request Form

Service Request

Service will be scheduled Monday through Friday from 8:00 am until 4:00 pm. Warranty service will not be run until RHI has been paid in full and all utility hook-ups have been completed and are operational.

Service Request

PURCHASE INFORMATION

Today's Date

Home Delivery and Setup is Complete? *

Which location was the Home Purchased at? *

RHI Home Consultant Name *

Home Consultant Email

CONTACT INFORMATION

First Name *

Last Name *

Primary Phone Number *

Home Address *

Home Address

Address

Address Line 2 (optional)

City

State

Zipcode

PLEASE LEAVE DETAILED INFORMATION ABOUT THE SERVICE ISSUES INCLUDING ROOM LOCATIONS, DIMENSIONS, COLORS, ETC.

Service Requested *

PLEASE SUBMIT PHOTOS IF POSSIBLE.

File Upload - Upload photo(s) to help describe the service required

Maximum file size: 20MB

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