49
SOLAHART INSTALLATION REPORT
Dear Customer
A copy of this installation report for the heat pump is to be attached to an STC Assignment Form (where
applicable) as proof of installation. It can be copied and kept for your records. An electronic version may be
provided by the Dealer instead.
Installer, please complete all details below for the heat pump installation.
Owner’s Name
Installation Address
Suburb
State
Country
Postcode
Telephone
Home
Work
Mob
Email Address
Dealership / Agent
No. of Stories of Install
Single Other
Installer’s Name
Installation Date
Type of Installation
(please circle
)
Replace
Solar
System
Replace
Electric
or Gas
Replace
Heat
Pump
New
Building
New Install on
Existing Building
(not replacing a unit)
Other
System Model No
System Type
Tank Model No
Tank Serial No
Electric Supply
(please circle)
Electric continuous
Off Peak 2
(night & day)
Timer
Other
If replacing a water heater, please give details
Brand
Model No
Electric
Gas
If a Solahart unit
Tank Serial No
Date of manufacture
Collector Serial No’s
1)
2)
3)
4)
Comments
Signature:
Installer:
Customer:
Date