RMA Authorization form

RMA Request Form

Instructions

Complete this request and submit to Braas for review.
You will be notified within 3 - 5 business days of any potential credit and provided an RMA #.
Only product with an approved RMA # may be returned for credit. (RMA # is valid for 30 days from date of issue.)
Credit is issued only after receipt and favorable inspection.

*Denotes required information.

Request Type *

Return

Repair

If you are submitting an RMA for repair and will be issuing a PO, please indicate the PO number and authorized amount below.

Repair PO PO#

Authorized Amount $

Contact Name *

Email *

Phone *

Fax

Company *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Return Information

Part Number *

Serial Number / Date Code *

Quantity *

Is the product(s) under warranty? *

Manufacturer and Description *

Original Purchase Info

Purchase date

Month

Day

Year

Purchase ID Type *

Purchase ID *

Reason for return / repair? *

Describe the reason for return or symptoms of the failure in detail

Please enter additional returns below.

Additional Return 1

Part Number *

Serial Number / Date Code *

Quantity *

Is the product(s) under warranty? *

Manufacturer and Description *

Original Purchase Info

Purchase date

Month

Day

Year

Purchase ID Type*

Purchase ID*

Reason for return / repair? *

Describe the reason for return or symptoms of the failure in detail

Additional Return 2

Part Number *

Serial Number / Date Code *

Quantity *

Is the product(s) under warranty? *

Manufacturer and Description *

Original Purchase Info

Purchase date

Month

Day

Year

Purchase ID Type *

Purchase ID *

Reason for return / repair? *

Describe the reason for return or symptoms of the failure in detail

Additional Return 3

Part Number *

Serial Number / Date Code *

Quantity *

Is the product(s) under warranty? *

Manufacturer and Description *

Original Purchase Info

Purchase date

Month

Day

Year

Purchase ID Type *

Purchase ID *

Reason for return / repair? *

Describe the reason for return or symptoms of the failure in detail

Will you be issuing a debit memo with this return? *

Yes

Debit memo #

Comments

If you are submitting a request for repair, we will contact you for payment or refund information as necessary. Please allow 3-5 days for assessment and processing.
For additional information, please reference our Terms & Conditions.

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RMA Request Form

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