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:

*Did Higgins Energy Alternatives install the stove?
YesNo

If yes, please give short description of reason for service:

If no, please advise:
Has the stove been inspected by the town?
YesNo

If yes, we will need proof of the inspection. Please email proof to service@higginsenergy.com, AND please fill in the question above regarding description of reason for service. If the town has not inspected it, you need to call your town to have it inspected BEFORE we can schedule service.