Vital Heating Solutions – Boiler Service Form

To help us prepare an accurate quotation for your new boiler, please complete the form below. Feel free to give us a call if you require assistance in completing the form..

Is it time to book your boiler service? If you answer YES to any of the following, we recommend getting in touch as soon as possible to book in a boiler service, especially if the flame in the boiler is irregular/yellow, there are new stains or smoke marks on the appliance or nearby, the boiler overheats or refills regularly, the water pressure drops, the pilot light often goes out and/or it’s been a year or more since the last service.

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Your Full Name *

Contact Number

Email *

Do you have a system filter on your heating?

• Yes
• No
• Unsure

Do you need the work carrying out within the next 14 days?

• Yes
• No
• Unsure

Is there a switch to isolate the boiler from electrics?

• Yes
• No
• Unsure

Is the boiler to be replaced by the same type?

• Yes
• No
• Unsure

Do you have a Water Meter?

• Yes
• No
• Unsure

Is your current boiler operational?

• Yes
• No
• Unsure

What's the make and model of current boiler?

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?

Does Meter many

Are they any cold spots in radiators?

• Yes
• No
• Unsure

Does Your Stop Tap Work?

• Yes
• No

Location of Cold Spots

Type of property and no. of bedrooms and bathrooms:

How do you control your heating?

How many pipes are coming from the boiler?

Selected Value: 0

If roof, is the roof flat or pitched?

• Flat
• Pitched
• Other

Does the flue terminate above ground floor level? (1st floor or above)

• Yes
• No
• Unsure

Does the flue go through the wall or through the roof?

• Wall
• Roof
• Unsure

Does the flue terminate at least 2 metres from ground level?

• 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:

Submit