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Search for:
New Boiler Form
VitalHeatingGroup
2021-02-05T16:24:46+00:00
Vital’s new boiler form…
Your Full Name:
*
Contact Number:
Your Email Address:
*
Property Address:
Do you have a system filter on your heating?
Yes
No
Unsure
Is the boiler to be replaced by the same type?
Yes
No
Unsure
Do you need the work carrying out within the next 14 days?
Yes
No
Unsure
Is your current boiler operational?
Yes
No
Unsure
Is there a switch to isolate the boiler from electrics?
Yes
No
Unsure
Will the new boiler be in the same position as the current boiler? If not, please outline below:
Are Thermostatic Radiator Valves fitted to your radiators?
Yes
No
Unsure
If no, how many radiators are at the property? (Photos of all radiators will be required)
Please now attach your photo of radiators...
Choose File
Are they any cold spots in radiators?
Yes
No
Unsure
Location of cold spots...
Does your water stop tap work?
Please now attach a photo of your stop tap...
Choose File
Do you have a Water Meter?
Yes
No
Unsure
What's the make and model of current boiler?
Type of property and no. of bedrooms and bathrooms:
How do you control your heating?
Please now attach your photo/video for the survey...
Choose File
Please now attach your photo for the survey...
Choose File
Please now attach your photo for the survey...
Choose File
Please now attach your photo for the survey...
Choose File
Only continue if your Photo Survey can NOT be completed... If you have completed your Survey please scroll down and click the 'Send' buttom.
How many pipes are coming from the boiler?
3
4
5
6
7
Does the flue go through the wall or through the roof?
Wall
Roof
Unsure
If roof, is the roof flat or pitched?
Flat
Pitch
Other
Does the flue terminate at least 2 metres from ground level?
Yes
No
Unsure
Does the flue terminate above ground floor level? (1st floor or above)
Yes
No
Unsure
If yes, is where the flue exists the building accessible?
Yes
No
Unsure
Existing boiler room location and position within property (if applicable)?
What is the Gas Meter location?
Please write any other relevant information:
Your data is always safe with us. We will only contact you in conjunction with your inquiry and your details are securely stored.
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