Refrigerant Leak Reporting Form

Please enable JavaScript in your browser to complete this form.

Use this form to submit refrigerant leak troubleshooting information to Carrier Enterprise Technical Service & Support. Upload evidence showing the active leak point when available.

Leak Evidence Videos

Please watch each video before proceeding.

Did you watch both videos? *

Leak evidence acknowledgement *

I understand that the upload should show the active leak point. Bubble soap at the leak location is required.

Save and Resume Later

Contact & Routing

Select your region and provide technician contact information.

Region *

Dealer / Company Information

Dealer / Company Name *

Dealer Account Number

Technician Name *

First

Last

Technician Mobile Phone *

Technician Email *

Are you on the job site now? *

If not on site, briefly explain *

Provide a short reason or note about the information source.

Save and Resume Later

Product Information

Application *

Residential
Light Commercial – Office/Retail
Heavy Commercial – Manufacturing/Warehouse
Industrial – Heavy Manufacturing/Printing/Chemical/Other

Equipment Type *

Split System
RTU / Package unit
WSHP / Geothermal
Ductless
VRF

Is the leak in a coil? *

Coil Type *

Evaporator
Condenser
Reheat
Coaxial Heat Exchanger

Coil Design / Material *

RTPF – Copper ….. Copper tube/aluminum fin
FTPF – Aluminum ….. Aluminum tube/aluminum fin
MCHX ….. Micro-channel heat exchanger
Cupro-Nickel coaxial heat exchanger
Copper coaxial heat exchanger

Coil Coating *

No Coating
Factory coating
Third party coating

Environmental concerns at location? *

Save and Resume Later

Equipment Information

Model Number *

Serial Number *

Installation / Start-Up Date *

Leak / Failure Date *

Date the leak or loss of charge was first identified.

Is the equipment operational now? *

Equipment Information / History

Provide relevant history such as prior repairs, failures, service issues, or operating concerns.

Was a leak test performed? *

Leak Information

Answer each question about the reported refrigerant leak.

Was the leak identified? *

Select Yes only when the active leak point has been located.

If leak was not identified, explain current findings *

Briefly note what was checked, current symptoms, and why the leak point could not be confirmed.

Is the leak repairable? *

Leak Type *

Solder Joint
Puncture
Tube failure/crack

Leak Location

Coil leak location reference

Leak Location *

U-bend
In fin pack
At tube sheet
Distributor / header
Factory piping
Coaxial heat exchanger
Compressor Shell
BPHX (Braze plate heat exchanger)

Possible Cause *

Operating vibration
Operating rub (metal, tubes, wires, etc.)
Environmental corrosion
Manufacturing workmanship
Shipping damage
Unknown

Description of Leak and Location *

Describe the leak location and how it was confirmed. This should support the uploaded photo/video evidence.

Save and Resume Later

Videos & Photos

Submitting Videos / Photos

Upload at least one photo or video showing the active leak point. Video is preferred. The best evidence shows the general location first, then a close-up of bubble soap actively bubbling at the leak location.

Leak Evidence Upload *

Drag & Drop Files, Choose Files to Upload You can upload up to 4 files.

Upload up to 4 files showing the active leak point and supporting troubleshooting information.

Final Review

Technical Support will review the submitted troubleshooting information and follow up if additional information is needed.