RMA Requests

* Product Mfg Location

* Email Address

* Customer Name

* RMA Requester Name

* Customer Returning Plant Name

* Customer Phone Nbr

Address

City

State/Province

ZIP/Postal Code

PO Number (Optional)

Required for Automotive: Does the return of this product have an impact on safety or the environment? If yes, please define in the next field.

Required for Impacts on safety or the environment

Required for Medical, 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

* 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