Arkansas HVACR NewsMagazine November 2024

(Your company logo here)

Ductwork Release of Liability Form Homeowner’s Full Name: ___________________________________________ Homeowner's Address: _____________________________________________ City: __________________________ State: _________ ZIP: ____________ Phone Number: ___________________ Email: _________________________ I, the undersigned homeowner, hereby acknowledge and agree to the following terms and conditions of this Ductwork Release of Liability Form for (your company name here: 1. Nature of Release of Liability: (Your company name here) has advised me that the existing ductwork is original and/or of undetermined age, and may be either inadequate in size, condition, or layout, which is required for the new heating and cooling system to perform to its maximum design efficiency. I have also been advised by (Your company name here) that in addition to less than maximum performance, other unwanted conditions may develop including, but not limited to, condensation, mildew, rusted ductwork, property damage, and any other consequences related to the existing ductwork size or condition. I have declined the recommended replacement, alteration, or repair of the existing ductwork and have agreed to proceed with the installation of the new heating and cooling system. 2. Release and Waiver: I hereby release, discharge, and hold harmless (Your company name here), its officers, directors, employees, agents, and affiliates from any and all claims, demands, actions, causes of action, liabilities, costs, expenses, or damages of any kind, whether known or unknown, that may arise out of continuing to use the existing ductwork with the new heating and cooling system. 3. Exclusions: This waiver does NOT exclude or exempt (Your company name here) responsibility for all life safety issues, required by code, to be corrected or included in the scope of work performed , including combustion air, fresh air, and exhaust venting.

Homeowner’s signature: ______________________________

Date: _____________________

(Your company address, license number, phone number, email, etc. here)

This is not a legal document but can be used as a rough draft example.