RMA Request Form

General information:
*required fields

Customer ID

Company *

Street / No.*

Country*

ZIP Code*

City*

Shipment method*

Direct shipment to Switzerland – Spreitenbach (Customs done by customer)

Shipment by carrier in germany for customers from the EU (Customs will be handled automatically, shipment time approx. 10 working days after arrival at carrier in germany)

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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 (customer):

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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