{"id":49101,"date":"2026-03-23T15:24:51","date_gmt":"2026-03-23T19:24:51","guid":{"rendered":"https:\/\/cetechsupport.com\/?page_id=49101"},"modified":"2026-03-23T15:24:52","modified_gmt":"2026-03-23T19:24:52","slug":"refrigerant-leak-claim-form","status":"publish","type":"page","link":"https:\/\/cetechsupport.com\/es\/refrigerant-leak-claim-form\/","title":{"rendered":"Refrigerant Leak Claim Form"},"content":{"rendered":"<style id=\"wpforms-css-vars-49041-block-78582f42-dc63-4663-be85-921d1eaf7dfe\">\n\t\t\t\t#wpforms-49041.wpforms-block-78582f42-dc63-4663-be85-921d1eaf7dfe {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-form-abandonment wpforms-container-quiz wpforms-container-save-resume wpforms-block wpforms-block-78582f42-dc63-4663-be85-921d1eaf7dfe wpforms-render-modern\" id=\"wpforms-49041\"><form id=\"wpforms-form-49041\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"49041\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/es\/wp-json\/wp\/v2\/pages\/49101?wpforms_form_id=49041\" data-token=\"acdffc11bad86ef05d1fa043c2dc0548\" data-token-time=\"1777679622\"><noscript class=\"wpforms-error-noscript\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/div><div class=\"wpforms-page-indicator connector\" data-indicator=\"connector\" data-indicator-color=\"#72b239\" data-scroll=\"1\" role=\"progressbar\" aria-valuenow=\"1\" aria-valuemin=\"1\" aria-valuemax=\"4\" tabindex=\"-1\"><div class=\"wpforms-page-indicator-page active wpforms-page-indicator-page-1\" style=\"min-width:25%;\" data-page=\"1\"><span class=\"wpforms-page-indicator-page-number\" style=\"background-color:#72b239\" data-page=\"1\">1<span class=\"wpforms-page-indicator-page-triangle\" style=\"border-top-color:#72b239\"><\/span><\/span><\/div><div class=\"wpforms-page-indicator-page  wpforms-page-indicator-page-2\" style=\"min-width:25%;\" data-page=\"2\"><span class=\"wpforms-page-indicator-page-number\"  data-page=\"2\">2<span class=\"wpforms-page-indicator-page-triangle\" ><\/span><\/span><\/div><div class=\"wpforms-page-indicator-page  wpforms-page-indicator-page-3\" style=\"min-width:25%;\" data-page=\"3\"><span class=\"wpforms-page-indicator-page-number\"  data-page=\"3\">3<span class=\"wpforms-page-indicator-page-triangle\" ><\/span><\/span><\/div><div class=\"wpforms-page-indicator-page  wpforms-page-indicator-page-4\" style=\"min-width:25%;\" data-page=\"4\"><span class=\"wpforms-page-indicator-page-number\"  data-page=\"4\">4<span class=\"wpforms-page-indicator-page-triangle\" ><\/span><\/span><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-49041-field_1-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"1\"><\/div><div id=\"wpforms-49041-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_2\">Technician First Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-49041-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" aria-errormessage=\"wpforms-49041-field_2-error\" required><\/div><div id=\"wpforms-49041-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_3\">Technician Last Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-49041-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-49041-field_3-error\" required><\/div><div id=\"wpforms-49041-field_4-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_4\">Technician Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-49041-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" spellcheck=\"false\" aria-errormessage=\"wpforms-49041-field_4-error\" required><\/div><div id=\"wpforms-49041-field_5-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_5\">Technician Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-49041-field_5\" class=\"wpforms-field-medium wpforms-field-required\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][5]\" aria-label=\"Technician Phone\" aria-errormessage=\"wpforms-49041-field_5-error\" required><\/div><div id=\"wpforms-49041-field_6-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_6\">Callback Number (if different)<\/label><input type=\"tel\" id=\"wpforms-49041-field_6\" class=\"wpforms-field-medium\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][6]\" aria-label=\"Callback Number (if different)\" aria-errormessage=\"wpforms-49041-field_6-error\" ><\/div><div id=\"wpforms-49041-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_7\">Dealer \/ Company Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-49041-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-49041-field_7-error\" required><\/div><div id=\"wpforms-49041-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_8\">CE Account Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-49041-field_8\" class=\"wpforms-field-medium wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"49041\" data-field-id=\"8\" data-text-limit=\"6\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-49041-field_8-error\" aria-describedby=\"wpforms-49041-field_8-description\" maxlength=\"6\" required><div id=\"wpforms-49041-field_8-description\" class=\"wpforms-field-description\">6-digit CE customer account number. Original HTML also includes an account-hold warning for flagged accounts.<\/div><\/div><div id=\"wpforms-49041-field_9-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_9\">Service Manager&#039;s Email<\/label><input type=\"email\" id=\"wpforms-49041-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" spellcheck=\"false\" aria-errormessage=\"wpforms-49041-field_9-error\" ><\/div><div id=\"wpforms-49041-field_10-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_10\">Service Manager&#039;s Phone<\/label><input type=\"tel\" id=\"wpforms-49041-field_10\" class=\"wpforms-field-medium\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][10]\" aria-label=\"Service Manager&#039;s Phone\" aria-errormessage=\"wpforms-49041-field_10-error\" ><\/div><div id=\"wpforms-49041-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_11\">Warehouse \/ Branch # being shipped to<\/label><input type=\"text\" id=\"wpforms-49041-field_11\" class=\"wpforms-field-medium wpforms-limit-characters-enabled\" data-form-id=\"49041\" data-field-id=\"11\" data-text-limit=\"4\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-49041-field_11-error\" aria-describedby=\"wpforms-49041-field_11-description\" maxlength=\"4\" ><div id=\"wpforms-49041-field_11-description\" class=\"wpforms-field-description\">4-digit warehouse or branch code.<\/div><\/div><div id=\"wpforms-49041-field_12-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"12\"><fieldset><legend class=\"wpforms-field-label\">Region<\/legend><ul id=\"wpforms-49041-field_12\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_12_1\" name=\"wpforms[fields][12]\" value=\"East\" aria-errormessage=\"wpforms-49041-field_12_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_12_1\">East<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_12_2\" name=\"wpforms[fields][12]\" value=\"West\" aria-errormessage=\"wpforms-49041-field_12_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_12_2\">West<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_12_3\" name=\"wpforms[fields][12]\" value=\"Central\" aria-errormessage=\"wpforms-49041-field_12_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_12_3\">Central<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-49041-field_13-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"13\"><fieldset><legend class=\"wpforms-field-label\">Working with a specific TSR\/CAM?<\/legend><ul id=\"wpforms-49041-field_13\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_13_1\" name=\"wpforms[fields][13]\" value=\"NONE\" aria-errormessage=\"wpforms-49041-field_13_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_13_1\">NONE<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_13_2\" name=\"wpforms[fields][13]\" value=\"Ben Evans\" aria-errormessage=\"wpforms-49041-field_13_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_13_2\">Ben Evans<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_13_3\" name=\"wpforms[fields][13]\" value=\"Michael Squires\" aria-errormessage=\"wpforms-49041-field_13_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_13_3\">Michael Squires<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-49041-field_14-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"14\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"1\" data-formid=\"49041\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><a href=\"#\" class=\"wpforms-save-resume-button\"><span>Save and Resume Later<\/span><\/a><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-49041-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_15\">End User First Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-49041-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-49041-field_15-error\" required><\/div><div id=\"wpforms-49041-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_16\">End User Last Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-49041-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-49041-field_16-error\" required><\/div><div id=\"wpforms-49041-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_17\">Street Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-49041-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" aria-errormessage=\"wpforms-49041-field_17-error\" required><\/div><div id=\"wpforms-49041-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_18\">City <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-49041-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" aria-errormessage=\"wpforms-49041-field_18-error\" required><\/div><div id=\"wpforms-49041-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_19\">Province <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-49041-field_19\" class=\"wpforms-field-medium wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"49041\" data-field-id=\"19\" data-text-limit=\"2\" name=\"wpforms[fields][19]\" placeholder=\"QC\" aria-errormessage=\"wpforms-49041-field_19-error\" maxlength=\"2\" required><\/div><div id=\"wpforms-49041-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_20\">Postal Code <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-49041-field_20\" class=\"wpforms-field-medium wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"49041\" data-field-id=\"20\" data-text-limit=\"6\" name=\"wpforms[fields][20]\" placeholder=\"A1B2C3\" aria-errormessage=\"wpforms-49041-field_20-error\" aria-describedby=\"wpforms-49041-field_20-description\" maxlength=\"6\" required><div id=\"wpforms-49041-field_20-description\" class=\"wpforms-field-description\">No spaces: A1B2C3 format.<\/div><\/div><div id=\"wpforms-49041-field_21-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_21\">Homeowner Phone<\/label><input type=\"tel\" id=\"wpforms-49041-field_21\" class=\"wpforms-field-medium\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][21]\" aria-label=\"Homeowner Phone\" aria-errormessage=\"wpforms-49041-field_21-error\" ><\/div><div id=\"wpforms-49041-field_22-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_22\">Homeowner Email<\/label><input type=\"email\" id=\"wpforms-49041-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" spellcheck=\"false\" aria-errormessage=\"wpforms-49041-field_22-error\" ><\/div><div id=\"wpforms-49041-field_23-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"23\"><fieldset><legend class=\"wpforms-field-label\">Original Equipment Owner?<\/legend><ul id=\"wpforms-49041-field_23\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_23_1\" name=\"wpforms[fields][23]\" value=\"Yes\" aria-errormessage=\"wpforms-49041-field_23_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_23_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_23_2\" name=\"wpforms[fields][23]\" value=\"No\" aria-errormessage=\"wpforms-49041-field_23_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_23_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-49041-field_24-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"24\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"2\" data-formid=\"49041\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"2\" data-formid=\"49041\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><a href=\"#\" class=\"wpforms-save-resume-button\"><span>Save and Resume Later<\/span><\/a><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3  \" data-page=\"3\" style=\"display:none;\"><div id=\"wpforms-49041-field_25-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"25\"><fieldset><legend class=\"wpforms-field-label\">Equipment Type <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-49041-field_25\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_25_1\" name=\"wpforms[fields][25]\" value=\"Ductless\" aria-errormessage=\"wpforms-49041-field_25_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_25_1\">Ductless<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_25_2\" name=\"wpforms[fields][25]\" value=\"Residential\" aria-errormessage=\"wpforms-49041-field_25_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_25_2\">Residential<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_25_3\" name=\"wpforms[fields][25]\" value=\"Commercial\" aria-errormessage=\"wpforms-49041-field_25_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_25_3\">Commercial<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-49041-field_26-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_26\">Equipment Model Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-49041-field_26\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][26]\" aria-errormessage=\"wpforms-49041-field_26-error\" required><\/div><div id=\"wpforms-49041-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_27\">Equipment Serial Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-49041-field_27\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][27]\" aria-errormessage=\"wpforms-49041-field_27-error\" required><\/div><div id=\"wpforms-49041-field_28-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"28\"><fieldset><legend class=\"wpforms-field-label\">Brand<\/legend><ul id=\"wpforms-49041-field_28\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_28_1\" name=\"wpforms[fields][28]\" value=\"Carrier\" aria-errormessage=\"wpforms-49041-field_28_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_28_1\">Carrier<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_28_2\" name=\"wpforms[fields][28]\" value=\"Bryant\" aria-errormessage=\"wpforms-49041-field_28_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_28_2\">Bryant<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_28_3\" name=\"wpforms[fields][28]\" value=\"Payne\" aria-errormessage=\"wpforms-49041-field_28_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_28_3\">Payne<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_28_4\" name=\"wpforms[fields][28]\" value=\"Other\" aria-errormessage=\"wpforms-49041-field_28_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_28_4\">Other<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-49041-field_29-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_29\">Installation \/ Startup Date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-49041-field_29\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][29][date]\" aria-errormessage=\"wpforms-49041-field_29-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-49041-field_30-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_30\">Fail Date<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-49041-field_30\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][30][date]\" aria-errormessage=\"wpforms-49041-field_30-error\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-49041-field_31-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_31\">Factory Ship Date (Trend \/ ICIES)<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-49041-field_31\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][31][date]\" aria-errormessage=\"wpforms-49041-field_31-error\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-49041-field_32-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_32\">Equipment Information \/ History<\/label><textarea id=\"wpforms-49041-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" aria-errormessage=\"wpforms-49041-field_32-error\" aria-describedby=\"wpforms-49041-field_32-description\" ><\/textarea><div id=\"wpforms-49041-field_32-description\" class=\"wpforms-field-description\">Provide any pertinent history including repairs, failures, or issues.<\/div><\/div><div id=\"wpforms-49041-field_33-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"33\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"3\" data-formid=\"49041\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"3\" data-formid=\"49041\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><a href=\"#\" class=\"wpforms-save-resume-button\"><span>Save and Resume Later<\/span><\/a><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4 last \" data-page=\"4\" style=\"display:none;\"><div id=\"wpforms-49041-field_34-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"34\"><fieldset><legend class=\"wpforms-field-label\">Was a leak test performed? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-49041-field_34\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_34_1\" name=\"wpforms[fields][34]\" value=\"Yes\" aria-errormessage=\"wpforms-49041-field_34_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_34_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_34_2\" name=\"wpforms[fields][34]\" value=\"No\" aria-errormessage=\"wpforms-49041-field_34_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_34_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-49041-field_35-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"35\"><fieldset><legend class=\"wpforms-field-label\">Was the leak identified? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-49041-field_35\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_35_1\" name=\"wpforms[fields][35]\" value=\"Yes\" aria-errormessage=\"wpforms-49041-field_35_1-error\" aria-describedby=\"wpforms-49041-field_35-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_35_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_35_2\" name=\"wpforms[fields][35]\" value=\"No\" aria-errormessage=\"wpforms-49041-field_35_2-error\" aria-describedby=\"wpforms-49041-field_35-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_35_2\">No<\/label><\/li><\/ul><div id=\"wpforms-49041-field_35-description\" class=\"wpforms-field-description\">The source form warns that warranty approval requires proof of the actual leak location.<\/div><\/fieldset><\/div><div id=\"wpforms-49041-field_36-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"36\"><fieldset><legend class=\"wpforms-field-label\">Is the leak repairable? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-49041-field_36\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_36_1\" name=\"wpforms[fields][36]\" value=\"Yes\" aria-errormessage=\"wpforms-49041-field_36_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_36_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_36_2\" name=\"wpforms[fields][36]\" value=\"No\" aria-errormessage=\"wpforms-49041-field_36_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_36_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-49041-field_37-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"37\"><fieldset><legend class=\"wpforms-field-label\">Is this a DOA leak (within 30 days of startup)?<\/legend><ul id=\"wpforms-49041-field_37\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_37_1\" name=\"wpforms[fields][37]\" value=\"Yes\" aria-errormessage=\"wpforms-49041-field_37_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_37_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_37_2\" name=\"wpforms[fields][37]\" value=\"No\" aria-errormessage=\"wpforms-49041-field_37_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_37_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-49041-field_38-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"38\"><fieldset><legend class=\"wpforms-field-label\">Leak Type <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-49041-field_38\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_38_1\" name=\"wpforms[fields][38]\" value=\"Solder Joint\" aria-errormessage=\"wpforms-49041-field_38_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_38_1\">Solder Joint<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_38_2\" name=\"wpforms[fields][38]\" value=\"Puncture\" aria-errormessage=\"wpforms-49041-field_38_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_38_2\">Puncture<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_38_3\" name=\"wpforms[fields][38]\" value=\"Tube failure\/crack\" aria-errormessage=\"wpforms-49041-field_38_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_38_3\">Tube failure\/crack<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-49041-field_39-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"39\"><fieldset><legend class=\"wpforms-field-label\">Leak Location <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-49041-field_39\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_39_1\" name=\"wpforms[fields][39]\" value=\"U-bend\" aria-errormessage=\"wpforms-49041-field_39_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_39_1\">U-bend<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_39_2\" name=\"wpforms[fields][39]\" value=\"In fin pack\" aria-errormessage=\"wpforms-49041-field_39_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_39_2\">In fin pack<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_39_3\" name=\"wpforms[fields][39]\" value=\"At tube sheet\" aria-errormessage=\"wpforms-49041-field_39_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_39_3\">At tube sheet<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_39_4\" name=\"wpforms[fields][39]\" value=\"Distributor \/ header\" aria-errormessage=\"wpforms-49041-field_39_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_39_4\">Distributor \/ header<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_39_5\" name=\"wpforms[fields][39]\" value=\"Factory piping\" aria-errormessage=\"wpforms-49041-field_39_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_39_5\">Factory piping<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_39_6\" name=\"wpforms[fields][39]\" value=\"Coaxial heat exchanger\" aria-errormessage=\"wpforms-49041-field_39_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_39_6\">Coaxial heat exchanger<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_39_7\" name=\"wpforms[fields][39]\" value=\"Compressor Shell\" aria-errormessage=\"wpforms-49041-field_39_7-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_39_7\">Compressor Shell<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_39_8\" name=\"wpforms[fields][39]\" value=\"BPHX\" aria-errormessage=\"wpforms-49041-field_39_8-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_39_8\">BPHX<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-49041-field_40-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"40\"><fieldset><legend class=\"wpforms-field-label\">Leak&#039;s Possible Cause<\/legend><ul id=\"wpforms-49041-field_40\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_40_1\" name=\"wpforms[fields][40]\" value=\"Operating vibration\" aria-errormessage=\"wpforms-49041-field_40_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_40_1\">Operating vibration<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_40_2\" name=\"wpforms[fields][40]\" value=\"Operating rub (metal, tubes, wires, etc)\" aria-errormessage=\"wpforms-49041-field_40_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_40_2\">Operating rub (metal, tubes, wires, etc)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_40_3\" name=\"wpforms[fields][40]\" value=\"Manufacturing workmanship\" aria-errormessage=\"wpforms-49041-field_40_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_40_3\">Manufacturing workmanship<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_40_4\" name=\"wpforms[fields][40]\" value=\"Environmental corrosion\" aria-errormessage=\"wpforms-49041-field_40_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_40_4\">Environmental corrosion<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_40_5\" name=\"wpforms[fields][40]\" value=\"Shipping\" aria-errormessage=\"wpforms-49041-field_40_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_40_5\">Shipping<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-49041-field_41-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"41\"><fieldset><legend class=\"wpforms-field-label\">Refrigerant Type<\/legend><ul id=\"wpforms-49041-field_41\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_41_1\" name=\"wpforms[fields][41]\" value=\"R-410A\" aria-errormessage=\"wpforms-49041-field_41_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_41_1\">R-410A<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_41_2\" name=\"wpforms[fields][41]\" value=\"R-22\" aria-errormessage=\"wpforms-49041-field_41_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_41_2\">R-22<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_41_3\" name=\"wpforms[fields][41]\" value=\"R-32\" aria-errormessage=\"wpforms-49041-field_41_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_41_3\">R-32<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_41_4\" name=\"wpforms[fields][41]\" value=\"R-454B\" aria-errormessage=\"wpforms-49041-field_41_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_41_4\">R-454B<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_41_5\" name=\"wpforms[fields][41]\" value=\"Other\" aria-errormessage=\"wpforms-49041-field_41_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_41_5\">Other<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-49041-field_42-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_42\">Amount of Refrigerant Lost (lbs\/oz)<\/label><input type=\"text\" id=\"wpforms-49041-field_42\" class=\"wpforms-field-medium\" name=\"wpforms[fields][42]\" placeholder=\"e.g. 3 lbs\" aria-errormessage=\"wpforms-49041-field_42-error\" ><\/div><div id=\"wpforms-49041-field_43-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"43\"><fieldset><legend class=\"wpforms-field-label\">Detection Method<\/legend><ul id=\"wpforms-49041-field_43\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_43_1\" name=\"wpforms[fields][43]\" value=\"Bubble test\" aria-errormessage=\"wpforms-49041-field_43_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_43_1\">Bubble test<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_43_2\" name=\"wpforms[fields][43]\" value=\"Electronic detector\" aria-errormessage=\"wpforms-49041-field_43_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_43_2\">Electronic detector<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_43_3\" name=\"wpforms[fields][43]\" value=\"UV dye\" aria-errormessage=\"wpforms-49041-field_43_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_43_3\">UV dye<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-49041-field_43_4\" name=\"wpforms[fields][43]\" value=\"Other\" aria-errormessage=\"wpforms-49041-field_43_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_43_4\">Other<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-49041-field_44-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_44\">Description of the Leak and its Location<\/label><textarea id=\"wpforms-49041-field_44\" class=\"wpforms-field-medium\" name=\"wpforms[fields][44]\" aria-errormessage=\"wpforms-49041-field_44-error\" ><\/textarea><\/div><div id=\"wpforms-49041-field_45-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-type=\"file-upload\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-49041-field_45\">Leak Proof: Videos \/ Photos <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader wpforms-field-medium wpforms-field-required\"\n\t\tdata-field-id=\"45\"\n\t\tdata-form-id=\"49041\"\n\t\tdata-input-name=\"wpforms_49041_45\"\n\t\tdata-extensions=\"mpg,mov,wmv,pdf,png,gif,jpg,mp4\"\n\t\tdata-max-size=\"134217728\"\n\t\tdata-max-file-number=\"4\"\n\t\tdata-post-max-size=\"134217728\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 4 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-49041-field_45\"\n\t\tname=\"wpforms_49041_45\" required\t\tvalue=\"\">\n<div id=\"wpforms-49041-field_45-description\" class=\"wpforms-field-description\">Must show bubbles or the detector tip at the leak location. Oil stain photos alone are not accepted.<\/div><\/div><div id=\"wpforms-49041-field_46-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"46\"><fieldset><legend class=\"wpforms-field-label\">What is being requested?<\/legend><ul id=\"wpforms-49041-field_46\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-49041-field_46_1\" name=\"wpforms[fields][46][]\" value=\"Labor\/material assistance for repairing a repairable leak\" aria-errormessage=\"wpforms-49041-field_46_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_46_1\">Labor\/material assistance for repairing a repairable leak<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-49041-field_46_2\" name=\"wpforms[fields][46][]\" value=\"Approve a Replacement Unit\" aria-errormessage=\"wpforms-49041-field_46_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-49041-field_46_2\">Approve a Replacement Unit<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-49041-field_47-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"47\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"4\" data-formid=\"49041\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"49041\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/cetechsupport.com\/es\/wp-json\/wp\/v2\/pages\/49101\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-49041\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cetechsupport.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Cargando\"><a href=\"#\" class=\"wpforms-save-resume-button\"><span>Save and Resume Later<\/span><\/a><\/div><\/form><\/div>  <!-- .wpforms-container 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