RMA Required Information

SHIP TO

Please note - we cannot ship to a PO (Post Office) box.

First Name*

Last Name*

Industry*

Job Responsibility*

Company*

Contact*

Phone*

Email*

Address 1*

Address 2

Address 3

City/Province*

Postal Code*

Country*

End User (Ultimate Consignee)

End User Company

End User Contact

End User Phone

End User Email

End User Address 1

End User Address 2

End User 3

End User City/Provice

End User Postal Code

End User Country

Freight Forwarder

Freight Forwarder Company

Freight Forwarder Contact

Freight Forwarder Phone

Freight Forwarder Email

Freight Forwarder Address 1

Freight Forwarder Address 2

Freight Forwarder Address 3

Freight Forwarder City/Province

Freight Forwarder Postal Code

Freight Forwarder Country

Special Return Shipping Instructions

If this equipment requires a purchase order (PO), please contact your local sales channel.

RMA NUMBER ISSUED BY PRODUCT SUPPORT

Please let ALL Items being returned for service

1 Model Number

2 Model Number

3 Model Number

4 Model Number

1 Serial Number

2 Serial Number

3 Serial Number

4 Serial Number

Please remember to list and enclose any and all applicable accessories (accelorometers, cables, chargers, etc.).

Note that 90 day warranty on billable repairs will ONLY cover issues reported on this RMA form.

In the space provided below, please describe the problems you are experiencing in as much as detail

RMA Required Information

Have you talked with Technical Support prior getting a Service Request?*

If you answered yes above, what is the ticket number?

What troubleshooting steps were made, if any before sending the equipment in?

When does this occur?

What hardware or software affected?

What type of environment is the equipment in when the issue occurs?

Were there any activities that led to the reported problem? If so please explain

Did the issue start after a new install or upgrade? If so, what install or upgrade was performed?

Is there any additional information that you can give that could help us during the repair?

Email Address for WWCS to team to send confirmation and follow-up instructions.

RMA Number

I would like to receive electronic communications from Emerson about products, services & events.