Submit a Request to Salesforce
For Service or Delivery and Installations
The store # in which you are based?
*
Service = 025, Riverhead =014
Invoice Number
*
Product Type
*
Please Select
Entire Order
Air Conditioner
Appliance
Bedding/Mattress
Car Audio, Remote Start, Car Video, Car alarms
Other
Furniture/Recliner/Massage Chair
Television
Split A/C
I need help with
*
Please Select
Bedding/Furniture
Car Installation
Compliment
CT Delivery/Install Request
Exchanges
NJ Delivery/Install Request
NY Delivery/Install Request
PCR Appliance Service Request
Rebates/GC's
Supervisor Action Needed
T.V & Electronics Repair
Third Party Service
Service calls should be created at store level. Do not use this form to create a call, unless you are experiencing a system issue.
For Car Installations - Fill out the information below
Exchange Details - For Mattresses -use NA for Serial number
Appliance help details
Please Select
Cancel Call (COD)
NO COOL-Sooner Req
Request COD Payment Link
Request Copy of Service Reports
Request Mail Out Parts (MOP)
Request Part ETA
Schedule with PCR tech
Send Different Tech
Sooner Request
Tech called out today customer wants asap
Tech to Update
Two Tech Job needed
Cancel With Parts
Expedite Parts
Manager Callback Complaints against the tech
Same Day Cancellation
COD Disputes
What type of damage claim? You can inquire about an existing claim only!
Please Select
CT Damage Claim
NJ Installation Damage Claim
NY Installation Damage Claim
PCR Service
Third Party Servicer
Vehicle Damage claim
New Claims must be filed by the customer themselves by calling 1800 696 2000
Exchange, damage - or car audio Text
Delivery Install Details
Please Select
Time Stop
Earliest Available Date
Direct Delivery
Request Designer
Need Fix Ticket or 99
Need specific driver or installer
Need Time Frame
COI question
Other/Not listed
What Type of exchange request?
Please Select
25 or 125 Request form
RA Request (under MFG warranty)
What Type of Bedding/Furniture Request?
Please Select
Mattress
Recliner
Adj. Base/Sofa Bed
Other
Gift Card or Rebates?
Please Select
Gift Card Question
Rebate update
What Type of Supervisor Action is Needed?
Please Select
Supervisor Callback
Need Manager Authorization or Codes
Escalation
T.V & Electronics Repair Specifics
Please Select
Computer Repair Escalation
All other Electronics/Vacuums(No microwaves/A/C's) Customer Wants New
All other Electronics/Vacuums(No microwaves/A/C's) Parts Eta
Estimates Customer Approves Estimate
Estimates Customer Does not want repair
TV Repair Customer Requests an Exchange
TV Repair Cancel Service Call scheduled for today
Manager Callback Complaints against the tech
Manager callback due to COD dispute
TV Repair Sooner appointment
TV Repair Unable to Date call
TV Repair Parts ETA
Third Party Repair Specifics
Please Select
Cancel Whirlpool parts call
Cannot locate a third party Servicer
third party cannot get part
Servicer not answering phone for update
Product Type Text
Customer Name
*
Customer's Phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Your Name (Just in case we need to contact your directly)
*
Customer's email address (This field is not mandatory). Enter a valid email address only
Enter a valid email address only
Your email address
example@example.com
Your email text
example@example.com
I am a
*
Please Select
Ace
Clerical
Executive
HR DM
DM
Office Manager
Manager
Sales Counselor
Warehouse Employee
I am a text
Customer's email address Text
example@example.com
Description
*
***Please be brief and professional. ****
Subtype
Please Select
Repair Status Check
CT Damage Claim
Escalation
NJ Delivery/Install Damage Claim
NY Delivery/Install Damage Claim
Mattress
Recliner
Adj. Base/Sofa Beds
Cancel Call (COD)
NO COOL-Sooner Req
Request COD Payment Link
Request Copy of Service Reports
Request Mail Out Parts (MOP)
Request Part ETA
Schedule with PCR tech
Send Different Tech
Sooner Request
Tech called out today customer wants asap
Tech to Update
Two Tech Job needed
Cancel With Parts
Expedite Parts
Manager Callback Complaints against the tech
Same Day Cancellation
COD Disputes
Gift Card Question
Rebate update
Supervisor Callback
Need Manager Authorization or Codes
Computer Repair Escalation
All other Electronics/Vacuums(No microwaves/A/C's) Customer Wants New
All other Electronics/Vacuums(No microwaves/A/C's) Parts Eta
Estimates Customer Approves Estimate
Estimates Customer Does not want repair
TV Repair Cancel Service Call scheduled for today
TV Repair Customer Requests an Exchange
TV Repair Manager Callback(For COD Disputes or Complaints against the tech)
TV Repair Sooner appointment
TV Repair Unable to Date call
TV Repair Parts ETA
Cancel Whirlpool parts call
Cannot locate a third party Servicer
third party cannot get part
Servicer not answering phone for update
RA Request
Vehicle Damage claim
PCR Service
Third Party Servicer
Time Stop
Earliest Available Date
Direct Delivery
Go Back to a stop
Request Designer
Need Fix Ticket or 99
Need specific driver or installer
Need Time Frame
COI question
Other/Not listed
Appointment Reschedule
Parts Inquiry
NJ Installation Damage Claim
NY Installation Damage Claim
25 Request form
Time Sheet Correction request
Manager callback due to COD dispute
Zendesk Comms
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