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)



* Phone:
() -
Work:
() -
Cell:
() -
Best Time to Call:

[ Or, please respond via E-mail. ]
* Email:


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

Tell us about your comfort equipment:

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

Type
Qty
Age (in years)
Details

 Oil Furnace

 Oil Boiler

 Oil Burner

 Oil Tank

 Gas Furnace

 Gas Boiler

 Gas Burner
Type of Domestic Hot Water Heater:
Oil   Gas   Electric

Please click the checkbox below to verify: