RMA Request Form LinMot USA

General information:
*required fields

Customer ID

Company *

Street / No.*

Country*

ZIP Code*

City*

Email*

Buyer will pay all shipping costs to and from LinMot USA for the return of any/all products

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Technical contact (customer):
Technical contact: Please provide a technical contact in regards to any questions we may have about the evaluation of the return.

Item for return only: No Technical contact available

*required fields

Name *

Phone *

E-mail*

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Contamination declaration:

*required fields YES NO

Are all contaminated goods cleaned?*

Is residual contaminations possible?*

Which substance was in contact with the LinMot parts?*

Which cleaning agents were used?*

Which cleaning method was used?*(e.g. autoclave, neutralisation, disinfection)

Safety data sheets of cleaning agents

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General information:

Customer ID:

Company:

Street/No:

ZIP Code:

City:

Email:

Technical contact (customer):

Name:

Phone:

E-mail:

Item for return:

Item:

Item-No.:

Serial number:

Reason for return:

PO number item was purchased on:

Date item was purchased:

More information regarding return:

Contaminations:

Contamination declaration: YES NO

Are all contaminated goods cleaned?

Is residual contaminations possible?

Which substance was in contact with the LinMot parts?

Which cleaning agents were used?

Which cleaning method was used?

Attached files:

I agree to the Privacy Policy*

I have read the general RMA information*

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