RMA Requests

* Product Mfg Location

* Email Address

* Customer Name

* RMA Requester Name

* Kimball Program Manger

* Return Type

Returning Plant Name

Customer Phone Nbr

Address

City

State/Province

ZIP/Postal Code

PO Number

* Has a letter of contamination controls been provided to Kimball?

In what applications has this product been used?

List any contaminants product may have been exposed to.

Nature of known contaminants in contact with product

Toxic
Explosive
Corrosive
Potential Hazardous
Biologically Hazardous
Non Hazardous

* Has this product been exposed to any radioactive material?

List any radioactive exposure

Doses this return create any health/safety risks to Kimball employees?

Provide risks for returning this product?

Product Return #1 ----------------------------------------------------------------

* Matl Nbr #1

* Qty #1

* SN/Barcode Nbr #1

Customer Request Nbr #1

* Return Reason #1

Product Return #2 ----------------------------------------------------------------

Matl Nbr #2

Qty #2

SN/Barcode Nbr #2

Customer Request Nbr #2

Return Reason #2

Product Return #3 ----------------------------------------------------------------

Matl Nbr #3

Qty #3

SN/Barcode Nbr #3

Customer Request Nbr #3

Return Reason #3

Product Return #4 ----------------------------------------------------------------

Matl Nbr #4

Qty #4

SN/Barcode Nbr #4

Customer Request Nbr #4

Return Reason #4

Product Return #5 ----------------------------------------------------------------

Matl Nbr #5

Qty #5

SN/Barcode Nbr #5

Customer Request Nbr #5

Return Reason #5

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