RMA Requests

* Email Address

* Customer Name

* RMA Requester Name

* Customer Returning Plant Name

* Customer Phone Nbr

* Address

* City

* State/Province

* ZIP/Postal Code

PO Number (Optional)

* Product Type

* Does the return of this product have an impact on consumer/user safety or the environment? If yes, please define in the next field.

Impacts on consumer/user safety or the environment

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

* List special comments or requirements

* 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

* Has this product been exposed to any radioactive material?

List any radioactive exposure

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

Provide risks for returning this product?

Product Return ----------------------------------------------------------------

* Matl Nbr

* Qty

* SN/Barcode Nbr(s)

Customer Request

* Return Reason

New code

Please type the code above

Do you have more PNs needing to be returned?

Contact Us - RMA Requests