Request Service

We want to give our customers the convenience of scheduling service online. To receive a tune-up or repairs on equipment from Reliable Oil & Heat, please fill out our easy online form.

Important Notification:

DO NOT USE THIS FORM IF YOU NEED AN IMMEDIATE OR EMERGENCY SERVICE.
Instead, call us at 203-324-2141 or 203-866-9163

* = Required Field

Contact Information:

* Name:
(First, MI, Last)
Mr.   Ms.   Mrs.

Account Number:

* Address:
(City, State, ZIP)

AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NY NV OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

* Phone:
() -
Work:
() -
Cell:
() -

Best Time to Call:
Click to choose a time 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 6:00 PM 7:00 PM 8:00 PM
[ Or, please respond via E-mail. ]

* Email:

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Service Requested:

 Repair (Non-Emergency)
 Tune-up (Preventive maintenance)
 Equipment Upgrade Estimate
 Tank Removal/Replacement Estimate
 Other

Please elaborate and provide desired dates and times:

I am currently enrolled in a Service Plan with Reliable Oil & Heat:

 Yes       No

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Tell us about your comfort equipment:

I have the following in my home (click all that apply):

Type

Qty

Age (in years)

Details

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 Oil Furnace

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 Oil Boiler

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 Oil Burner

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 Oil Tank

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 Gas Furnace

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 Gas Boiler

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 Gas Burner

Type of Domestic Hot Water Heater:
Oil   Gas   Electric

Please click the checkbox below to verify: