Get Kolpak/rdi Claim Form

Completing the Kolpak/RDI Claim Form online is essential for processing your service claims effectively. This guide provides step-by-step instructions to ensure you fill out the form accurately and efficiently.

Follow the steps to successfully complete your claim form.

1. Press the ‘Get Form’ button to access the Kolpak/RDI Claim Form and open it for editing.
2. Begin by entering the service company's invoice number and the dates when the service failure occurred and when repairs were made. Ensure all dates are accurate.
3. Provide the service company's information, including their name, address, phone or fax number, and email address. This information is crucial for communication regarding the claim.
4. Fill in the equipment location details. Similar to the previous step, provide the name and address where the equipment is located.
5. If you are not a contracted Manitowoc customer service representative, include a completed W-9 form. This is essential for processing your claim.
6. Enter all relevant details of the equipment repaired, such as the model number, walk-in serial number, condensing unit serial number, evaporator serial number, and compressor serial number, if applicable.
7. Document the installation date of the equipment and describe the reported complaint, making sure to avoid vague terms such as 'bad' or 'defective.'
8. Detail the description of repair, listing hours worked and providing a comprehensive explanation for each repair conducted. Also, make note of the exact location of any leaks.
9. List hours and miles for labor and travel, specify the refrigerant type, and detail the labor rate alongside the total labor charge.
10. For parts, describe each part replaced along with its quantity. Attach a copy of the purchasing part invoice for these items.
11. Include miscellaneous fees (up to $100), listing each description and its corresponding charge.
12. If applicable, state the sales tax, including the rate and total amount.
13. If you are not a Kolpak/RDI authorized service provider, you will need to complete the authorization number and total charges.
14. Finally, save, download, or print the completed form. Ensure all information is reviewed before submitting it.

Complete your Kolpak/RDI Claim Form online today to ensure timely processing of your service claims.