TFT Safety Recall Payment

Instructions

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.

For your commodity this form uses cookies to store information so that you don't have to retype the same data on every submission as long as you are using the same browser on the same device.

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.

Please note: signing up is not a requirement to be able to fill in and submit this form. The current form has all the required data needed for us to process you submissions.

Registered Users

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If you are already registered on this site, please do login and confirm your data in the registration form. Registration is required to confirm your information.

Please Note: All fields are required!

Payment Information

First Name*

Last Name*

Email*

Phone Number*

Company Name*

Address*

City*

State / Province*

Postal / Zip*

Would you prefer a mailed check (slow) or electronic payment (Quicker)?

Please send me a mailed check.

I prefer to receive by electronic payment, thank you.

Please fill out this form and email a copy to recall@ntiboilers.com with the subject line "ELECTRONIC PAYMENT".

GST/HST Number (if available)

Boiler Information

Serial Number*

Match to Stock Code

Add More Serials

Statement

By typing your initials below you are stating that the mandatory upgrade using Kit #86118 has been applied successfully to all boiler serial numbers being submitted which includes but is not limited to installing the new grommet seal, retaining band and reinstalling the flue sensor.

Initials*

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