FRM-8001 RMA Form - Industrial Video &

FRM-8001 Rev: 5
INDUSTRIAL VIDEO & CONTROL RETURN AUTHORIZATION FORM
This Form Must Accompany Any Return Shipment
RA #
Date
IVC Use Only
Company
RMA Return Address
Approved
Invoiced
Rtn Inv Adj
Item not to be returned
Name
Contact
Address
E-Mail
Address
Phone
City
State
Zip
Shop Order
Mac Change
DMR Gen
PROD
Fax
ACTG
Original Purchase Order Number (if known)
Return
Customer Shipping Account
Returns will not be accepted without a Return Authorization Number from IVC
Expedite Shipping
Charge Customer
Prepay and add shipping costs
Due Date
Return Conditions
1) Goods returned shall be packed securely and in adherence to general UPS packing guidelines. IVC is not responsible for
damages on return shipment. Damages determined to be caused by improper packaging are the responsibility of the
customer.
2) Each Item returned will be subject to a $100 Inspection fee. If the unit is under warranty, and the case of failure is
determined to be IVC materials or workmanship, this fee will be waived.
3) The customer is responsible for return freight costs. Please provide a freight account
or approval for pre-pay and additional shipping costs.
4) IVC will provide a repair estimate for customer approval prior to initiating repair.
5) Confirm bench test prior to shipping units.
6) Form must be emailed to support@ivcco.com.
Camera Information:
Failure
Part No.
Gateway
Subnet
IP Address
Failure
Part No.
Gateway
Subnet
IP Address
Failure
Part No.
Gateway
Subnet
IP Address
Approved By:
An electronic version of this form is available for download from our website at: www.ivcco.com/rma
Industrial Video and Control Co.
330 Nevada St. Newton, MA 02460
(617) 467-3059
support@ivcco.com