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SERVICE RECORD
It is recommended that your heating system is serviced regularly and that the appropriate Service Interval Record is
completed.
SERVICE PROVIDER
Before completing the appropriate Service Record below, please ensure you have carried out the service as described
in the manufacturer's instructions. Always use the manufacturer's specified spare part when replacement is necessary.
Service 01
Engineer Name: _____________________________________
License No.: ________________________________________
Company: ___________________________________________
Telephone No.: ______________________________________
Stove Inspected:
Items Replaced: _____________________________________
Service 03
Engineer Name: _____________________________________
License No.: ________________________________________
Company: ___________________________________________
Telephone No.: ______________________________________
Stove Inspected:
Items Replaced: _____________________________________
Service 05
Engineer Name: _____________________________________
License No.: ________________________________________
Company: ___________________________________________
Telephone No.: ______________________________________
Stove Inspected:
Items Replaced: _____________________________________
Service 07
Engineer Name: _____________________________________
License No.: ________________________________________
Company: ___________________________________________
Telephone No.: ______________________________________
Stove Inspected:
Items Replaced: _____________________________________
Date: _______________________
Chimney Swept:
Date: _______________________
Chimney Swept:
Date: _______________________
Chimney Swept:
Date: _______________________
Chimney Swept:
Service 02
Engineer Name: _____________________________________
License No.: ________________________________________
Company: ___________________________________________
Telephone No.: ______________________________________
Stove Inspected:
Items Replaced: _____________________________________
Service 04
Engineer Name: _____________________________________
License No.: ________________________________________
Company: ___________________________________________
Telephone No.: ______________________________________
Stove Inspected:
Items Replaced: _____________________________________
Service 06
Engineer Name: _____________________________________
License No.: ________________________________________
Company: ___________________________________________
Telephone No.: ______________________________________
Stove Inspected:
Items Replaced: _____________________________________
Service 08
Engineer Name: _____________________________________
License No.: ________________________________________
Company: ___________________________________________
Telephone No.: ______________________________________
Stove Inspected:
Items Replaced: _____________________________________
25
© 2021 United States Stove Company
Date: _______________________
Chimney Swept:
Date: _______________________
Chimney Swept:
Date: _______________________
Chimney Swept:
Date: _______________________
Chimney Swept:
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