Service Request Form for Heating or Cooling Equipment

Please use this convenient form to request service for your heating or cooling equipment, or you can call us at 1-516-763-1400. We will contact you to confirm the day and time of your service.

IMPORTANT: If you are experiencing a heat emergency, please do not use this form. Instead, call our office immediately at (516) 763-1400 or (718) 634-8447.

* = Required Field

Please fill out the following contact information:
* Name: (First, MI, Last)	Mr. Ms. Mrs.
OSI Account Number:
* Address: (City, State, ZIP)
* Phone:	() -
Work:	() -
Cell:	() -
* Email:
Best Time to Call:	[ Please contact me via email as well. ]
Service Requested:
Repair (Non-Emergency) Oil Gas Tune-up (Preventive maintenance) Oil Gas Air Conditioning Checkup Equipment Upgrade Estimate Oil Gas Tank Removal/Replacement Estimate Water Purification Energy Use Assessment Conservation Advice Solar Geothermal Other Please describe the type of service needed:
I am currently enrolled in a Service Plan with OSI or Comfort Specialists:
Yes No

How did you hear about OSI?
Internet search Jewish Times Jewish Star North Shore Today Long Island Press Long Island Railroad House Warmer newsletter News12.com NassauHeating.com MLSLI.com News 12 News 12 Traffic & Weather Newspaper Word of mouth Other: (please explain)

Please correctly type in the following phrase to verify: Please type c.o.m.f.o.r.t. without the periods in the box to the right.

Service Requested:

How did you hear about OSI?