Product Information Form
Please complete as much of the information below in order for our technical staff to give you the best possible service.
Homeowner Information
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Last Name:
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First Name:
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Address:
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City:
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Province:
- Select One -
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
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Postal Code:
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Who to contact:
-Select One-
Homeowner
Installer
Contractor
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Email Address:
Providing your e-mail address will help expedite the scheduling of your service. Email addresses will be treated as confidential.
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Daytime Phone:
NNN-NNN-NNNN
Cell Phone:
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Roof Pitch:
Flat
Low
Steep
0º - 9.5º (2/12)
9.6º - 14.4º >(3/12)
14.5º (3/12)
14.6º - 18.3º >(4/12)
18.4º (4/12)
18.5º - 26.6º (6/12)
26.7º - 33.7º (8/12)
33.8º - 45º (12/12)
45.1º - 54.8º (17/12)
54.9º - 64.4º (25/12)
64.5º - 75.1º (45/12)
75.2º - 89.9º
90º Vertical
Greater Than 90º
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Roof Type:
Shingles - Asphalt
Shingles/Shakes - Wood
Slate
Tiles - flat
Tiles - medium profile (approx. 2")
Tiles - high profile (over 2")
Corrugated Sheets (Asbestos/fiber cement)
Metal panels - Corrugated
Metal Panels - Ribbed
Metal Panels - Flat/standing seam
Rolled Roofing - Hot Mop
Synthetic materials
Problem solved over the phone
Product not yet installed/repaired
Suitable code not available
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Skylight Model:
VSS -- Solar Venting Skylight
VCS -- Solar Venting Curb Mount Skylight
FS -- Fixed Skylight
FSF -- Fixed Skylight w/Flap
VS -- Venting Skylight
VSC -- Venting Skylight-Classic
VSE -- Venting Skylight-Electric
VCM -- Venting Curb Mount Skylight-Manual
VCE -- Venting Curb Mount Skylight-Electric
TPS -- Roof Window
GHL -- Roof Window
GPL -- Roof Window
GGL -- Roof Window
GGLT -- Roof Window Triple Pane
GDL -- CABRIO Roof Window
GXL -- Roof Window
GIR -- Fixed
FCM -- Curb Mount Fixed Skylight
TCC -- Sun Tunnel
TCR -- Commercial Sun Tunnel
TSF -- Sun Tunnel
TSR -- Sun Tunnel Rigid
TTF -- Sun Tunnel
TMF -- Sun Tunnel
TGF -- Sun Tunnel
TMR -- Sun Tunnel
TGR -- Sun Tunnel
CMA -- Metro-Lite Fixed Al Curb Mount Double Dome
CM -- Dura-Lite Fixed Al Curb Mount Double Dome
CM -- Dura-Lite Fixed Al Curb Mount Pyramid
CM -- Dura-Lite Fixed Al Curb Mount Hip & Ridge
CAP -- Dura-Lite Fixed Al Double Dome Skylt w/ Insulated Curb Pan Flash
CAP -- Dura-Lite Fixed Al Pyramid Skylt w/ Insulated Curb Pan Flash
CAP -- Dura-Lite Fixed Al Hip & Ridge Skylt w/ Insulated Curb Pan Flash
CAA -- Dura-Lite Vented Al Double Dome Skylt w/ Insulated Curb Pan Flash
CAA -- Dura-Lite Vented Al Pyramid Skylt w/ Insulated Curb Pan Flash
CAA -- Dura-Lite Vented Al Hip & Ridge Skylt w/ Insulated Curb Pan Flash
OTHER
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Model Size:
A06
C01
C04
C06
C08
C12
CK04
CK06
D26
D06
FK06
M02
M04
M06
M08
MK04
MK06
MK08
P10
PK10
PK19
SK06
SK19
S01
S06
UK04
UK08
010
014
020
022
050
056
101
104
106
108
112
150
156
2222
2234
2246
302
304
306
308
312
3030
3046
3434
404
4622
4646
410
419
450
519
601
606
608
612
650
656
804
808
850
1
2
3
4
5
6
7
8
9
49
62
64
1430
1445
1460
1560
1733
1942
1944
2222
2230
2245
2246
2260
2272
2424
2448
2472
2525
25
33
2537
2549
3030
3045
3046
3060
3072
3333
3349
3636
3725
3737
3749
4530
4545
4646
4670
4690
4848
4933
4949
4973
4993
5670
5973
7090
7373
7393
9090
9393
SPECIAL
OTHER
Serial Number:
Click here for help finding your serial number
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Year Skylight Installed:
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VELUX flashing Used:
Yes
No
Not Sure
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Underlayment Used:
Membrane
None
Not Sure
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Number of skylights on job:
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Number skylights affected:
Number of blinds/shades installed:
Number of blinds/shades affected:
Model of blind/shade affected:
?
DKD
DMD
DSD
DSH
DMH
DSF
DMA
DMF
DKL
FMA
FME
FMF
FHG
FDA
FFF
MMA
MMC
MHL
PAD
PMD
PMH
PMA
PMF
PME
PMP
PML
PFF
PDA
PFP
PDV
PDE
PMV
PAL
RFD
RMD
RSD
RSH
RMH
RHL
RAF
RAE
RAV
FML
ZIL
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Skylights located on:
1st Floor
2nd Floor
3rd Floor
4+ Floor
What is required to access your skylight from the interior?
Within reach
Short step Ladder
Extension Ladder (up to 15ft)
Extension Ladder (exceeds 15ft)
scaffolding used for install
No Access
cannot remove insect screen
What is required to access your skylight from the exterior?
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Problem Category:
Water Penetration
Condensation (Interior of Home)
Glass is Broken
Glass is Fogged (Between Panes of Glass)
Problem Operating Manual Skylight
Problem Operating Electric Skylight
Problem Operating Manual Blind/Shade
Problem Operating Electric Blind/Shade
Problem Operating SOLAR blind (flat fabric)
Problem Operating SOLAR blind (pleated fabric)
Problem Operating SOLAR Skylight
Sun Tunnel Problem
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Description of problem:
Date of purchase:
Attach skylight photos:
Click 'Browse' to attach files. Press your 'Ctrl' key to attach multiple files.
Terms:
Site visits by VELUX for products within the warranty period cover parts only. A minimum service call fee of $200 is applicable plus additional labour if required.
Site visits by VELUX for products beyond the warranty period will be subject to a minimum service call fee of $200. Parts and labour when applicable are not included in service call fee.
Products beyond the warranty period – VELUX will contact you to recommend a Skylight Installer that is qualified to carry out repairs.
Please be aware that condensation and associated damages are not covered under the VELUX warranty.
If, after consultation, a site visit is deemed as necessary to confirm the issue, the above service call fee will apply.
(
Check box to agree to the terms and conditions
.)
Name:
Address
:
City:
Province
:
- Select One -
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Postal Code
: