RMA Request Form

General information:
*required fields

Customer ID

Company *

Street / No.*

Country*

ZIP Code*

City*

Shipment method*

Shipment by carrier in the EU (Customs will be handled automatically, shipment time approximately 10 working days after arrival at carrier)

Direct shipment (Customs done by customer)

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Technical contact:
*required fields

Name *

Phone *

Fax

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, desinfection)

Safety data sheets of cleaning agents

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General information:

Customer ID:

Company:

Street/No:

ZIP Code:

City:

Shipment information:

Technical contact:

Name:

Phone:

E-mail:

Item for return:

Item:

Item-No.:

Serial number:

Reason for return:

Description:

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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