My bathroom heat duct hose had fallen off. To access it, I opened the door side storage door and removed the panel that is immediately to the left. I re-positioned the duct/clamp and tightened the clamp. Never fell off again.
Though I didn't remove the round white floor vent, I expect that you can put a putty knife under it and carefully pry it up by working the putty knife around the duct.
Ozz has removed the ceiling vents to perform a mod and knows how to do it. Maybe he'll respond
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2010 3150RL
LevelUp, Dual 6 volt batteries, Progressive Industries EMS HW50C, Honda EU2000i Generator, Bridgestone Duravis R250 tires, Torklift Glowstep Revolution Stairs, LED Tail lights
2015 RAM 3500 Laramie SRW LB CC Cummins 6.7L Aisin Trans B&W RVK3600
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