QPH technician arriving for a service call

Request Service

Use this form for non-emergency service requests. Requests are reviewed and responded to by the next business day. For an active emergency, do not wait for the form: call (765) 403-0461 now.

Send Your Request Call (765) 403-0461

Send Your Request

Helpful to include: the type of system, the problem you are seeing and photos of the equipment. Interested in a Service Plan or Financing? Select those options in the form.

Name(Required)

First Last

Email(Required)

Phone(Required)

What type of service do you need?(Required)

Residential

Commercial / Industrial

Service Needed(Required)

What best describes your request?

Address(Required)

Street Address Address Line 2 City State ZIP Code

Interested in a Service Plan?

Interested in Financing?

Photo Upload

Drop files here or

Accepted file types: jpg, jpeg, png, heic, pdf, Max. file size: 20 MB, Max. files: 5.

Optional. Photos of the equipment or the problem help us prepare.

Questions / Comments