Fall FACT Check Form Home » Fall FACT Check Form Please enable JavaScript in your browser to complete this form.Customer Type *CODFAHW2-10FHWSUPERCustomer Name *FirstLastEmail *Phone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSystem InformationSystem Type *Split System (Heat Pump)Split System (Gas)Package (Heat Pump)Package (Gas)Condensor Unit BrandCondensor Model #Condensor Serial #Unit ConditionExcellentFairPoorOutdoor Coil CleanSurface Coil CleanDeep Clean (est. $167.00)Contactor GoodFairRecommend Replacement Number System Draw Outdoor Fan Motor Amp DrawOutdoor Fan Motor Bearings (copy)PassFailOutdoor Fan Motor Run Capacitor Rating *Run CapacitorPassFailCompressor Run Capacitor Rating *Run CapacitorPassFailCompressor Amp Draw ReadingRefrigerant TypeR-224-10aHigh-side Pressure ReadingsHigh-side Temp. ReadingsSub-coolLow-side Pressure ReadingsLow-side Temp ReadingsSuper-heatAir Handler // FurnaceModel NumberSerial NumberRun Cap Rating // Run Cap ReadingBlower Motor Amp DrawBlower Motor BearingsGoodFailingCoil ConditionGoodFairRequires AttentionEstimate for Indoor Coil Repairs/CleaningFurnace ConditionGoodFairBadCombustion MotorGoodFairBadHot Surface IgnitorPassFailFlame SensorCleaned Flame SensorSubmit