Professional Medical Product Service PLEASE NOTE: Most of our Professional Medical Products have a LIFETIME WARRANTY. Please consult your Operator's Manual. Professional Medical Return Authorization Form If you are human, leave this field blank. Name * Facility Name * Customer ID (if known) Street Address * Street Address Street Address Street Address City City State State Zip Code Zip Code Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Country Phone Number * Email Address * Product Select a Product * Please Select Product TAT-5000 (with ring on bottom) TAT-5000-QR (with hole on bottom) TAT-5000 (dual security) TAT5000-TTL TAT5000-RS232 TAT-5000S (specify model in comments) TAT-2000 (use lot number) Other (specify in comments) Please Select Reason For Return * Select Reading Appears to be Incorrect Physical Damage Reads "HI" Reads "LO.A" Reads "HI.A" Reads "LO" Reads "Err" Other (describe in comments) Other Serial Number(s) (Separate serial #'s with commas) * (Multiple serial #'s only when it's the same product and same reason for return. If different product and/or different reason, select Add Another Product below) Add Another Product Remove Product Comments Once this form is received, an email will be sent back with the RMA number. Please return the unit(s) to the address below for repair/replacement referencing the RMA number on the outside of the shipping box. Exergen Corporation ATTN RMA #:________________ 400 Pleasant Street Watertown, MA 02472 USA If you're looking for Industrial returns, click here.If you're looking for Consumer Thermometer returns, click here.