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Repair Request Form

This form is for repair requests only.

Important ! Please do not use this form for Swapout requests as you will not receive a configured device by return.
If your device is covered under a Swapout Contract then please use the correct form (which you would have been provided with).
If your device requires a normal repair then please continue to fill in this form.

Your details

 

Your name

Institution/Company name

Address

Contact telephone number

Contact email address

Product details

 

Model

Serial number

Symptom/Fault

Your reference

Has the unit been factory restored?

No Yes

Please supply config details if required

Is the unit suitably packed
and ready for collection?

No Yes