Labor Reimbursement Request Form

Labor Reimbursement Request Form

For End-Users and Homeowners Only. Service Providers please use this form.

Repairs must be pre-approved by Navien's Technical Support team before labor can be considered.

Please complete this form in its entirety. Submit this together with a labor bill/invoice.

Today's Date

RGA/SRA

Homeowner Name*

Homeowner Address*

Homeowner City*

Homeowner State*

Homeowner Zip Code:*

Homeowner Phone Number:*

Homeowner Email:*

Upload your Invoice and Proof of Payment

If either are missing, it will cause a delay in handling. Paid in Full invoice is also sufficient.

Drag and drop files here or

Contractor Name

Contractor Address:

Contractor City:

Contractor State:

Contractor Zip

Contractor Contact Number:

Contact Email:

Defective Unit Serial Number:*

Replacement Unit Serial Number (if applicable):

Initial Installation Date:

Serviced Date(s):

Removed/Replaced Date:

Explanation of the work done

Or anything else we should know

Navien's Schedule of Approved Labor Allowances

Labor Rate:

All approved Limited Labor Warranty claims are paid out as follows: 1 hour travel time + 1 hour to diagnose and replace the part(s) approved in the RGA @ $75 per hour for a maximum of $150 allowed per RGA.

EFFECTIVE NOV. 1, 2022

New labor rates in effect for any RGAs created on or after Nov. 1, 2022 will be $120 per hour. New max per RGA will be $240.

Exceptions:

An additional hour is allotted when an entire water heater or a primary/secondary heat exchanger is being replaced under warranty ($225 maximum payout before Nov. 1, 2022 / $360 on or after Nov. 1, 2022). RGA # will usually start with HL or UL.
For multiple unit job sites - If multiple units are identified as requiring part replacements, travel time will only be allowed on the first RGA.

Non-Reimbursement of Labor Claims. Labor claims will not be reimbursed for:

General and routine maintenance (such as inlet filter and flow sensor cleaning)
Unauthorized unit or part replacements
Units cannot be substituted as payment for labor claims
Expired labor warranties

Incidentals:

We do not pay for any extra material that is used while replacing units.
Parts kits are available to reduce labor costs.
Navien doesn’t pay additional for overtime, holidays, out-of-service areas, and for any taxes or GST on any labor.
An RGA Form must be completed and submitted for each RGA.

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