For best experience we recommend using it on a cell phone, tablet or iPad.

This form will help confirm the accuracy of information from our conversation on the telephone

Please use this handy form to upload the information we require to provide service.

All fields are required to match your information to your appointment. Upload other pictures is not required, it is recommended. You may add up to four other pictures. This will assist us in preparing for the repair. This information will help expedite your appointment. And provide an excellent service experience.

Is your appliance in Durham or York region? *

Yes

No

Sorry we only service Durham and York reqion. The app cannot be completed. No information has been submitted and you may now close your browser window.

Service Type Requested *

Select The Type of Service The Customer Requires Service Request Estimate Inquiry Parts Purchase

Homeowner / Landlord information *

To receive communication by text enter email,phone (no spaces)

Is the repair at a rental property? *

Yes

No

Model # *

Serial # *

Product Type *

Select product Built in Oven Dishwasher Dryer Ice Maker Microwave Range Hood Refrigerator Stove Washer

Product Make *

Is the appliance gas? *

Yes

No

Sorry we are not licensed to service gas appliances. The app cannot be completed. No information has been submitted and you may now close your browser window.

Do you require the technician to mask? *

Mask Required

No Mask Required

Please remember all photos must be legible.
Acceptable file formats are .jpg, .png, .gif, .jpeg. The problem box also accepts .mp4.
When filling this form in on a mobile device clicking Browse will also allow you to take a picture with the camera.

Take a picture or upload your model and serial number for confirmation tag. *

×

Drag and drop files here or Browse

Description/Request *

Take or upload three (3) pictures of the problem, broken or detached parts. *

×

Drag and drop files here or Browse

Is your appliance showing an error code? *

Yes

No

Take or upload a picture of any error codes showing on the appliance. Error code must be clearly visible in the picture. *

×

Drag and drop files here or Browse

Can you supply a short video of the problem, broken or detached parts? *

Yes

No

Take or upload a short video of the problem, broken or detached parts. *

×

Drag and drop files here or Browse

Is the appliance a stacked washer dryer that you are not able to unstack prior to our visit? *

Yes they are stacked

No they are not stacked

Take or upload three (3) pictures of the area around the washer dryer stack. *

×

Drag and drop files here or Browse

Preferred method of communication *

Choose one Text (Most Preferred) EMail (Preferred) Verbal (slower turn around and no progress updates)

How did you hear about us? *

Choose one Google HomeStar Returning Customer Samsung Word of Mouth

Click here to complete the app and send the information to the repair centre. Incomplete or illegible information will result in delay in repair.

Help me find my model and serial number tag.

Last Name