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Return Material Authorization (RMA) Request Form
(Please submit 1 Part Per RMA Request) Fields denoted with an '*' are mandatory fields.
Customer Information
Name:*
Company name:*
Telephone #:*
Email address:*
Fax #:
Technical contact:*
Technical contact Telephone #:*
Technical contact email address:*
Customer P.O. #:
(at time of original purchase)
Product Information
Part description:
L3 Part #:*
L3 Serial #:*
Revision:
Lot Date Code (LDC):
Chassis serial #:
Model #:
Problem Description
Too often parts are returned for repair with comments such as “doesn’t work”, “won’t boot” or “inputs bad” which can create delays in our attempt to find the root cause of the problem.  Many times we need to re-create a customer’s set up in order to see the same anomalies that our customer sees.  We request answers to the following questions to aid in prompt repair turnaround and provide the repair engineers information they need.

What is the exact description of the failure?*

What set of operating conditions generates the failure (i.e. at a certain voltage, temperature, altitude, etc.)?*

What tests were performed to confirm the failure?*

Does the unit fail every time it is tested, or is the failure intermittent?*

every time intermittent

The first phase of troubleshooting is to perform a system functional test. This will require L3 to power on the unit and perform a basic test at ambient temperature. Please indicate if this is acceptable or not:*

yes no
(If no, you will be contacted by a Customer Support representative before an RMA # is issued)

Are there any other special instructions or information that can be provided to assist in isolating the problem?

Payment Information
Is this under warranty? yes no
Is this under maintenance contract? yes no
Are you interested in Advanced Turn Around (ATA)? yes no
Would you like to be contacted for a price quote? yes no
Response Information - RMA information should be sent to:
Return Ship to:
Address: *
City: *
State: *
Zip: *
Comments:
An email confirming this request should be sent to you within 1 business day.
If further information or assistance is needed please contact our Customer Support dept. at 1-800-351-8483, ext.# 2
Security Code:
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