Warranty Cylinder Warranty Claim Step 1 of 4 25% Please fill out this form completely and be prepared to upload accompanying images before submission. (An upload form will appear after you have completed several sections within this form.) The following information needs to be obtained and transmitted to Dynatemp:Bill-to Company Name*Bill-to Company Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Company Phone*Contact Name* First Last Contact Email Address* (you will be asked this again during file upload in order to complete this submission.) Defective Cylinder Location Address* Same as Bill-To Company Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Defective Cylinder Location Phone Number(Leave blank if same as "Bill-To" Location)Defective Cylinder Location Contact Name First Last (Leave blank if same as "Bill-To" Location)Defective Cylinder Location Email Address (Leave blank if same as "Bill-To" Location) Corresponding Purchase Order # (PO)*Customer Reference #Refrigerant Types & Quantities*(R410A, R22, R134a, etc.) Please list types and quantity of each, such as "R410A=2. R22=1."Refrigerant Brand*(“Generic” if no brand name is visible) Serial Number*(normally located on the shoulder of the cylinder) If box is available, any serial numbers or date stamps on the box A full refund will be issued for the following defects: 1. Valve Seal is intact and cylinder weighs less than full 2. Cylinder is full, will not release gas 3. Cylinder is full, valve will not turn 4. Cylinder is full, threads are defective A pro rata refund will be issued for the following defects: 1. Cylinder is less than full, will not release gas 2. Cylinder is less than full, valve will not turn Nature of Defect:*Valve Seal is intact and cylinder weighs less than fullCylinder is full, will not release gasCylinder is full, valve will not turnCylinder is full, threads are defectiveCylinder is less than full, will not release gasCylinder is less than full, valve will not turnOther (enter description below)Description(if Other chosen above) File Upload With a permanent marker, write the letter “W” and today’s date near the serial number and brand name. Be careful not to cover either serial number or brand name / logo with permanent marker. Snap a digital photo of the defective cylinder: The digital photo should contain the cylinder valve, serial number, handwritten date marking, refrigerant type, refrigerant brand and weight in lbs. See example below. It is important that all markings and elements are clear and legible. If a single digital photo is not possible, multiple photos may be submitted for each warranty claim. IMPORTANT! Please retain defective cylinder for a period of 60 days (Hold Period) following submission of your warranty credit request. Defects may require visual inspection or to be shipped back to a Dynatemp facility for final approval. The procedure for disposal of empty cylinders can be found in AHRI’s 2016 Guideline for Proper Content Recovery & Recycling of Refrigerant Cylinders. This document is available for download at https://dynatempintl.com/wp-content/uploads/2017/08/AHRI_Guideline_Q_2016.pdf. Cylinders that contain any amount of residual refrigerant may be submitted to your reclaim partner after your warranty claim has been processed and the Hold Period has expired.File Upload* Drop files here or Accepted file types: jpg, gif, png, pdf. Please upload accompanying photos for each cylinder. (Files must be jpg, gif, png, or pdf - Max upload 20 MB.)NotesAny additional comments or descriptions as necessary.Reference Number Δ