Service Record; Service Provider - United States Stove US1269E Owner’s Instruction And Operation Manual

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: ____________________________________
© 2021 United States Stove Company
Date: ______________________
Chimney Swept:
Date: ______________________
Chimney Swept:
Date: ______________________
Chimney Swept:
Date: ______________________
Chimney Swept:

SERVICE RECORD

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: ____________________________________
18
Date: ______________________
Chimney Swept:
Date: ______________________
Chimney Swept:
Date: ______________________
Chimney Swept:
Date: ______________________
Chimney Swept: