In coordination with Health Canada, and CPSC, this form is to indicate that the boilers with serial numbers submitted below have been successfully repaired using upgrade Kit #86118. The information provided in this form will be used for payments so accuracy is important.
The form will be validated in two steps, before submission, and after submission. If an error occurs there will be indicators on the fields that need to be corrected.
If you have multiple submissions to make, after the first valid submission you will be able to resubmit as many times as needed having only to fill the serials up to ten on each submission, click on the capcha checbox and fill in the Statement panel. The data will be stored on the browser for future use for approximately one year.
Save time & View History: by registering for an account you will have access to your previous serial number submission history and get your payment information automatically associated for future submissions.