RMA/Credit Request Form

What is wrong with the item?

Have you contacted the mfg for tech support?

Serial number?

Physical location of unit?

End user contact information?

Was delivery signed as 'DAMAGED'?

Was there visible damage to packaging?

What is the nature of the damage?

Physical location of unit?

End user contact information?

REQUIRED: Email photos of damaged merchandise to: returns@kermamedical.com.

Qty/Uom	Item #	Description

Replacement order needed?