RMA - JCT Analysentechnik

Company/Organisation*

Country*

Land

Name*

Vorname Nachname

Email*

Phone

Product Model*

Model Number*

Serial Number*

Date of Installation*

The failure occurs*

continuously
under certain conditions (pls. describe)
sporadically

Failure Description*

Pls. describe the failure or problem

The failure has already been discussed with a JCT engineer*

yes
no

Name of JCT engineer*

Pls. name your contact at JCT

File Upload

In case you have a photograph or other files to illustrate the problem. (use .zip files to combine multiple files if necessary)

Request*

Repair at costs
Repair under warranty
Cost estimation
other

specify "other"*

Repair and invoice*

if costs are not higher than 500 Euro
if costs are not higher than 1000 Euro
costs do not matter (no cost limit)

Original JCT invoice number (in case of warranty claim)*

Customs value (€)

Confirmation of Decontamination*

I confirm with my signature that the returned equipment has been completely decontaminated. No potential harmful substances are neither on the housing nor inside the equipment. It is safe for any person (including transport staff or JCT service engineer) to get in touch with the equipment.

I confirm decontamination

List of potential substances the equipment has been in touch with and which have been removed from the equipment (decontaminated)*

Terms and Conditions*

Costs for shipping the material to JCT is born by sender.
Replacement of material under warranty:
- New material will be sent and invoiced (material and shipping costs)
- JCT will evaluate warranty claim.
- If warranty claim is valid JCT will issue a credit note for full invoiced costs.

I accepted the terms and conditions

Further remarks

Date*

Signature*

Address

Anschrift Anschrift Zusatz Ort Bundesstaat / Provinz / Region PLZ Land

RMA - Return Material Authorization

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