Service Request Form
We Service Commercial Equipment Only

Fill out this form and remember to press "Submit" or email a copy to: service@carlsonservices.com
We will reply or call as soon as possible!
When you complete the form,
Print the screen or press CNTL+P for a copy for your records.
"Our satisfaction and pride is a quality job, well done."
Copyright Carlson Services Inc. 2013, all rights reserved. OR 163233 WA CARLSSI941P6
Company Name
Contact Name and Title
Location Identification
Customer Status
Existing Customer
Existing w/Contract
Location Address
City
State
Zip
Phone
Equipment Manufacturer (Brand/Make)
Service Needed
(* possible overtime charges)
Normal Repair Call (1-5 days out)
Urgent Repair Call (within 48 hours)
Emergency Repair Call (within 24 Hours) *
Immediate Repair Call *
Preventative Maintenance Request
New Customer
Equipment Type
Cooking
Refrigeration/HVAC
Electrical
Laundry
Mechanical
Installation or Replacement
Estimate for Installation or Construction
Model (Part)
Serial Number
Problem or Need
Please write any details or special instructions below
(access details, parking alerts, time restrictions and availability, etc...)
Metal Fab., Welding or Repair
Email Address (required)
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