1
Unsuccessful Repairs My LG Refrigerator had a No-Cooling Event, which I reported, but even though it was repaired, my LG Refrigerator had at least one more No-Cooling Event.
Enter the total number of additional No-Cooling Events you experienced with your LG refrigerator after reporting the first No-Cooling event that was repaired:
Select one of the following:
Not Applicable
I experienced Unsuccessful Repairs as listed below. I claim the default payment.
Enter the approximate date of the first No-Cooling Event on your LG Refrigerator that was unsuccessfully repaired:
+ Add Date
Name of the Repair Service Provider:
I experienced Unsuccessful Repairs within 5 years of purchasing my refrigerator and am submitting proof for each of the No-Cooling Events listed below.
Enter the approximate date of the first No-Cooling Event on your LG Refrigerator that was unsuccessfully repaired:
+ Add Date
Name of the Repair Service Provider:
Examples of acceptable proof include phone records, invoices, bills, repair records, cancelled checks, work orders, photographs, payment records, etc.
2
Delayed Service I waited more than ten (10) days after the date I first reported a No-Cooling Event to LG before my LG Refrigerator was repaired. (Count of waiting days excludes the date reported and the date repaired.)
Select one of the following:
Not Applicable
I experienced Delayed Service as listed below and claim the default payment.
Enter the date that the No-Cooling Event was first reported to LG:
Enter the date of repair:
Name of the Repair Service Provider:
I experienced Delayed Service within 5 years of purchasing my refrigerator as listed below and am submitting proof of more than 10 days of repair delay.
Enter the date that the No-Cooling Event was first reported to LG:
Enter the date of repair:
Name of the Repair Service Provider:
If you experienced delays related to more than one No-Cooling Event, please provide the dates applicable to each event. Upload an additional page if necessary.
Examples of acceptable proof include phone records, invoices, bills, repair records, cancelled checks, work orders, photographs, payment records, etc.
3
Labor Cost I paid for labor for a repair technician to diagnose, estimate, service, or attempt to service my LG Refrigerator following a No-Cooling Event that occurred within 5 years of purchase.
Select one of the following:
Not Applicable
I paid for labor for a repair technician following a No-Cooling Event and claim the default payment.
Total amount I paid for Labor Costs
Paid to:
I paid labor for a repair technician following a No-Cooling Event and am submitting proof.
Total amount I paid for Labor Costs
Paid to:
4
Payment for Parts I paid out-of-pocket for parts related to the cooling system of an LG Refrigerator (including a compressor, condenser, connection tube, drier, and evaporator) that were used to repair my LG Refrigerator following a No-Cooling Event.
Select one of the following:
Not Applicable
I am submitting additional proof of out-of-pocket Payment for Parts:
Total amount I paid for Parts
Paid to:
5
Replacement of LG Refrigerator I disposed of or replaced my LG Refrigerator because it could not be repaired following a No-Cooling Event that occurred within 5 years of purchase.
Select one of the following:
Not Applicable
I am submitting proof that my LG Refrigerator’s No-Cooling Event could not be repaired, AND consequently, I disposed of or replaced my LG Refrigerator.
Examples of acceptable proof include call records, invoices, bills, repair estimate records, payment records, etc.
6
Property Loss or Damage I experienced property loss or damage related to a No-Cooling Event with my LG Refrigerator (including the value of spoiled food, beverages, medicine, or other perishables, or the value of damage to property such as from leaking or repairs) when the No-Cooling Event occurred within 5 years of purchase.
You can include and add up Property Loss or Damage from multiple No-Cooling Events.
Enter the total amount of Property Loss or Damage here:
Provide a brief description of the property lost or damaged (for example, groceries, beverages, prescription drugs, damage from leaking, damage to floors, etc.) and the approximate dollar amount of each category of loss or damage (upload an additional page if necessary):
Select one of the following:
Not Applicable
I experienced property loss or damage and claim the default payment (up to the amount of my loss or damage).
I am submitting additional proof of Property Loss or Damage.