Service Request Form

Personal Information

*First Name:

*Last Name:

*Street Address:

*Town:

*State:

*Home Phone:

Alt Phone:

*Email:

*Preferred method of contact:
EmailHome PhoneAlt Phone

Stove Information

*Kind of Stove:
WoodPelletGas

*Make and Model of Stove:

Please give short description of reason for service:

*Did Higgins Energy Alternatives install the stove and/or perform service in the past?
YesNo

If NO, we will need proof that the stove has been inspected by the town:
Has the stove been inspected by the town?
YesNo

If YES, please email proof of inspection to service@higginsenergy.com.
If NO, you need to call your town to have it inspected BEFORE we can schedule service.