Disclaimer: This is a sample template and should be reviewed by an attorney before using it in your business. Laws regarding waivers can vary by state, so consulting with an attorney is crucial to ensure compliance.


General Information:

  • Company Name: [Your Business Name]
  • Address: [Your Business Address]
  • Phone Number: [Your Phone Number]
  • Website (if applicable): [Your Website]

Customer Information:

  • Customer Name:
  • Date:

HVAC Service:

  • Briefly describe the type of HVAC service being performed (e.g., installation of new furnace, air conditioning system maintenance).

Understanding of Risks:

  • I acknowledge that there are inherent risks involved in performing HVAC service work, including but not limited to:
    • Electrical hazards
    • Working at heights
    • Exposure to dust, debris, and potential allergens
    • Potential for accidental damage to existing wiring, ductwork, or property (within reasonable limits) during necessary service procedures.

Compliance with Instructions:

  • I agree to follow all safety instructions provided by the [Your Business Name] technician(s) during the service call.

Customer Responsibilities:

  • I understand and will ensure that the work area is clear and accessible for the technician(s) to perform the service.
  • I will remove any pets, valuables, or fragile items from the work area as needed.
  • I will be available to answer any questions or provide clarification throughout the service call.

Liability Waiver:

  • In consideration of [Your Business Name] performing the above-described HVAC service, I hereby agree to hold harmless and indemnify [Your Business Name] from any and all claims, liabilities, or damages arising from the following:
    • My actions or negligence during the service call.
    • Any pre-existing conditions with the HVAC system or surrounding property that may be revealed during the service.
    • Accidental damage to existing wiring, ductwork, or property within reasonable limits caused by necessary service procedures performed by a qualified technician.

(Consult with an attorney for appropriate wording regarding limitations of liability based on your state's laws).


  • This waiver does not apply to damages caused by the gross negligence or intentional misconduct of [Your Business Name] or its technicians.

Voluntary Waiver:

  • I have read, understood, and voluntarily agree to the terms and conditions of this Liability Waiver.

Customer Signature


Additional Considerations:

  • Use clear and concise language in the waiver.
  • Avoid overly broad language that may waive liability for negligence.
  • Provide a copy of the signed waiver to the customer for their records.
  • Consider offering different waiver options for specific service types (e.g., additional waiver for working on older or fragile equipment).

By implementing a well-defined Liability Waiver, you can help mitigate potential risks and protect your HVAC business while still providing excellent customer service. Remember, consulting with an attorney is essential to ensure compliance with your state's laws.