Please select RMA type : Repair Return Request Credit Return Request

Repair Return Request Form

Basic Information

Note:
  • An RMA Number must be obtained from our staff prior to returning any products. Any RMA returned without an RMA number will be rejected by our Shipping Department. All RMA numbers are valid for 60 days from the date of issuance.
  • Fields marked with an asterisk (*) are required. Serial numbers must be given before a Repair RMA number can be issued.
Contact Person *
Company *
Customer ID *
Date *
Telephone # *
Fax #
E-Mail *
Technical Contact Person *
Telephone # *
Fax #
E-MAIL *

Billing Address (If Out-Of-Warranty)

Company Name
Address 1
Address 2
City
State
Country
Zip Code

Shipping Address

Company Name *
E-Mail
Address 1 *
Address 2 *
City *
State *
Country *
Zip Code *

Repair Items

Part # * Serial #
(See Note above) *
Invoice # * Problem Description *
Note 1: Please provide BTOS serial number if entire system is being returned.
  • 1. Did the product work properly when you received it? * Yes No
  • 2. Please indicate the Operating System: *
  • Windows XP Windows 7 Windows 8 Windows 10 Windows 2003 Windows 2008 Windows 2012 Windows 2016 Unix Linux
  • Other
  • 3. Have any changes been made to the product, application, or operating system since it was last working? *
  • Yes No
  • If yes, please specify:
  • 4. Is any third party hardware and/or software being utilized? *
  • Yes No
  • If yes, please specify:
  • Quotation before repair
  • Quotation before repair Warranty Repair Non-Warranty Repair
  • Cross Shipment Request ( Valid only within 60 days of original shipment and requires Advantech B+B Smartworx Management Approval )

For further details, contact: Tel: 1-815-433-5100 Fax: 1-815-433-5109 Email: support@advantech-bb.com