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Cooper Power Systems Return Material Authorization Form

Please use this form to submit your request for Return Material Authorization (RMA) to Cooper Power Systems EAS.
Fields marked with a red asterisk * indicate required fields.

Are you looking for the Cooper Power Systems Product Warranty Service Request Form?

Requestor Information
*Requested By: 
Customer Information
*First Name: 
*Last Name: 
Title: 
*Company Name: 
*Address: 
Address 2: 
*City: 
*State/Province:
*Postal Code: 
*Country: 
*Phone #: 
Fax #: 
*E-mail Address: 
Date: 
Product Information
Is the product located at an address other than the one provided above?
If so please enter the contact name and location here:
Original Cooper Power Systems EAS Sales Order or Customer Purchase Order:
    
*Product Type:
 Select the type of product from this drop-down list.
*Quantity Affected:
 Enter the total number of parts that are being submitted for RMA in this text box.
 

Perform the following steps to download the RMA spreadsheet, complete the spreadsheet, and attach it to this form:

  1. Download this RMA spreadsheet (Rev 2.4 updated on 11/15/2011), which is in Microsoft Excel format.
  2. Open the spreadsheet and enter RMA products/parts, serial numbers/addresses, problems, and notes.
  3. Save the spreadsheet and attach it to this RMA form using the field below.

For detailed instructions on filling out and attaching the RMA spreadsheet,
download the RMA Instructions (Rev 2.0 updated on 12/10/2010).
Attach the RMA Spreadsheet:
 To attach the RMA spreadsheet, click the Browse button, navigate to the directory where the file is located, select the file, and click the Open button.
The submitted file must be less than 2 MB. To submit multiple files, combine them in a ZIP file.
Is this the first notification
of this request?
 Yes
No - Notification Date:

(enter as 03/01/2010) 		   
       

IMPORTANT

There will be a $90.00 evaluation fee charged for any warranty or non-warranty items deemed Non-defective or Non-repairable.

*** Please use proper packaging when shipping the product back for repair to ensure that no damage is done to the product.
If the product is damaged during shipping because of improper packaging, the customer is responsible for the replacement costs.

If the product is NOT UNDER WARRANTY, by submitting this form, you agree to the following terms:

  • If the product is Not repairable and you do not want it replaced, THERE WILL BE A $90.00 EVALUATION FEE CHARGED AND THE PRODUCT WILL NOT BE RETURNED TO YOU.
  • If the product is repairable, there will be a repair price charged.
  • If the product is Not repairable and you want it replaced, please provide a PO# .
  • If you would like to be notified, please provide the name and number of someone to contact in the special instructions text box.

Special Instructions/Additional Notes:

    

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