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 Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Zip Code Zip Code 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) Batter Cover Replacement (not required to return unit) 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.