Return Material Authorization Request
Please complete this form and email to:
Please select the type of RMA you are requesting (one type per request)
Non Quality Return*NOTE: / Product must still have original factory sealed /
/ unbroken Tamper Proof packaging
RMA credit requires verification if the request is within policy.
Distribution customers, please refer to stock rotation guidelines.
Quality Return or Service
- Within product warranty period
- Out of warranty period (PO required for Repair)
- Advanced Replacement
NOTE: / Please see Table 1 “Product Warranty table” in policy
Advanced Replacement requires a Tech Support Case
* Returned product is subject to a 25% restocking fee if your request comes more than 60 days after the original ship date. Returns for refund or credit beyond 120 days from original shipment date will be denied.
Please select the type of RMA you are requesting (one type per request)
Customer Information:
Company NameAccount Number: / ______
Purchase Order #:
OriginalPurchase#
RMA Contact Name
RMA Contact Email
RMA Contact Phone
BillTo Address
Company NameAddress
City, State, Zip
Ship To Address (if different than Bill To)
Company NameAddress
City, State, Zip
Yes! I would like a FedEx shipping label pick up for my RMA Warranty Repair
Please note that if your return is found to be out of warranty you will be charged for this shipping label
No! I will provide my own form of shipment.
Number of labels needed _____
Bill to AddressShip to Address
Please attach the Return Address provided with the RMA acknowledgement to the outside of the box and include a detailed description of the problem inside the box.
PLEASE NOTE: A standard repair cost of $100* per unit may be applied if your product is out of warranty. If the repair cost is estimated to be greater than $100*, we will contact you prior to making the repairs. Before the Request number is issued, we will need a PO for $100* per unit to cover the repair cost. If the cost is less than $100*, we will charge you only the actual cost of repair.
*Video Product Line estimated charge per unit is $250.
- Part number
Detailed Description of Problem:
Tech Support Case # :
- Part number
Detailed Description of Problem:
Tech Support Case #:
- Part number
Detailed Description of Problem:
Tech Support Case #:
- Part number
Detailed Description of Problem:
Tech Support Case #:
- Part number
Detailed Description of Problem:
Tech Support Case #:
- Part number
Detailed Description of Problem:
Tech Support Case #:
- Part number
Detailed Description of Problem:
Tech Support Case #:
- Part number
Detailed Description of Problem:
Tech Support Case #:
- Part number
Detailed Description of Problem:
Tech Support Case #:
- Part number
Detailed Description of Problem:
Tech Support Case #:
interlogix/RMA Request form
Updated 07-24-15Page 1 of 2