Request for Service - Overhead Door Co. of Brookfield

549 Federal Road Brookfield, CT 06804 • Phone: 203-740-7691 • Toll Free: 888-431-DOOR (3667) • Fax: 203-740-7695

Service Request

Please fill out the following, press submit and someone will contact you within 24 hours.

DOOR:	Single (One Car) Double (Two Car) Wood Steel Glass Aluminum

BROKEN SPRING:	Torsion (Across Front Header) Extension (Along Horizontal Track)

BROKEN PARTS:	Cable Roller Pulley Other If other, please explain:

OPERATOR:	Brand Name - Located on motor on the ceiling Overhead Door Liftmaster Genie If none of the above, what brand is it? Motor runs, nothing happens Motor does nothing at all Motor reversing on close cycle Motor reversing off floor

PHOTO CELLS:	Lit Not Lit Blinking

PREFERRED SERVICE TIME:	Morning Afternoon Mon Tue Wed Thu Fri
ADDITIONAL COMMENTS:

NAME:
ADDRESS:
PHONE #: