RMA Request Form

RMA Request Form In order to control repair charges and better expedite your repair, IMS requests the following information on all units sent back for evaluation/repair. Please answer the following questions as thoroughly as possible. Review IMS Repair Policy and Prices. To enhance testing and turnaround, please ship RMA units with the matching cable/connector if possible. RETURN PACKAGING NOTES - All products should be placed in anti-static packaging for shipping. - Any product damage during shipping is the sender's responsibility. - To avoid product damage during shipping, click for pictorial guide.
Repair Information

Did you purchase unit(s) through:	IMS Direct	Stocking Distributer
	Other (Please Explain):

Have replacement unit(s) been installed?	Yes	No

Are the replacement unit(s) functioning? (If N/A leave unchecked)	Yes	No

Did the unit(s) smoke?	Yes	No

Is this unit newly installed?	Yes	No

Have you spoken with someone in Applications/Technical Support either through your facility, or through IMS directly? If yes, it would be helpful for IMS to know the contact name.	IMS Direct	Rep/Distributer
	IMS Applications/Tech. Support Contact:

	Representative or Distributor:


How long has your system been up and running?	Days Weeks Months Years

Have you had any previous failures? If yes, when was the last failure, and how many?	Yes No	Last Failure Date:
		Number of Failures:

Please list each IMS Part Number and explain how the unit(s) fail.



Payment Information
Should repair charges apply, what payment option would you prefer? PO (Only if credit terms are already established) PO Number COD MasterCard or Visa (Customer Service will call for CC#)

Customer Contact Information

Name:
Company:
Address:
City:
State:
Zip:
Country:
Phone
Fax
E-Mail

Additional Information (ie. Special shipping instructions) IMS thanks you for your cooperation on this procedure. After submitting this form, you will be returned to the IMS Home page. Customer Service will issue an RMA # within 24 hours of receipt of your request via email or fax, unless we feel that Application/Technical Support is required to clarify your request.