Request Service This form is for routine service requests only. For emergency service, please contact us immediately at 1 (800) 649-4197. Service Request Form If this is not an emergency, please submit this form and a representative will be in contact as soon as possible. Fields with an asterisk are required. Name* First Last Company/Business Name* Phone* Email* Company/Business to be serviced* Street Address Address line 2 City, State, Zip Code Billing Address* Address Address line 2 City, State, Zip Code Service Type* Heating (Gas)Heating (Oil)CoolingRefrigerationOther Description * Captcha: Please enter the characters below to prove that you are human.