Send completed form, dealer invoice &

Jobsite sheet to:

Allied Air Enterprises, LLC

Attn: Distributor / Technical Services

215 Metropolitan Drive

West Columbia, SC 29170

Fax back to: 803-738-4005

Allied Labor Form (ALF)

Please fill out completely. Failure to fill out completely will result in denial of request. IMPORTANT: A Distributor Representative must sign this form. All claims must be made within 60 days of performance of corrective work. All replacement units authorized on E.R.F., A.L.F., or by case number authorization MUSThave a cutoff date 60 days from of date of issuance or it shall be deemed null and void. Dealer invoice and job site sheet must be attached to this form.

------Distributor Section------

Requested Date (xx/xx/xxxx):Distributor Name:

Requested by:

(Distributor Representative)

Phone: Fax:

Dealer Name: Dealer Phone:

Job Name:

Tracking Number: Allied Tech Service Contact:

Model Number: Serial Number:

DSR Signature:______

DSM Signature:______

------Allied Air Internal Use Only------

Request Amount: Approved Amount:

Manager Signature: ______Date (xx/xx/xxxx):

Changes and Modifications–Allied Air Enterprises will monitor this form and policy and reserves the right to make any changes and modifications, including discontinuance by written notification. Allowances for requests outside of the standardlabor policy cannot be processed without this form for information and sign off.Email all paper work to .

Note: Credits cannot be issued until all information is submitted as requested on this form.

This communication is confidential and may contain information that is privileged or exempt from disclosure under applicable law. Receipt by anyone other than the intended recipient does not constitute waiver or loss of the confidential or privileged nature of the communication. Any review or distribution by other than the intended recipient is strictly prohibited.

Revision 1 Electronic 8-20-13

Service Flash Form.docAllied Air Confidential12/27/2006