Repair Form - GE MFAC 14 User Manual

REPAIR / MODIFICATION RETURN AUTHORIZATION FORM – RMA FORM
FIELD ONLY TO BE FILLED IN BY A GE GRID Automation REPRESENTATIVE
RMA Reference
Repair Center address to Ship the Unit:
UK Grid Solution LTD
St Leonards Building
Harry Kerr Drive,
Redhill Business Park,
Stafford,
ST16 1WT, UK
FAO :- After Sales Department
GE GRID Automation Local Contact Information:
Name of Contact -
1. IDENTIFICATION OF UNIT & FAULT INFORMATION
Qty Type of Material(M)
Model N° (M)
(M) Equipment failed during Installation / Commissioning
(M) Equipment failed during Installation / Commissioning
2. SPECIALIST REPAIR INSTRUCTIONS
Do you want an updated firmware version after repair?
Is the relay being returned in a case?
3. CUSTOMS & INVOICING INFORMATION REQUIRED TO ALLOW RETURN OF REPAIRED ITEMS
Customer Invoice Address if paid (M)
Contact Name:
Tel No:
Email:
4. REPAIR TERMS & CONDITIONS
1. Please ensure a copy of the import invoice is attached with the returned unit/Airwaybill document copy emailed (M)
2. Please ensure the Purchase Order is released, for paid service, to allow the unit to be shipped
3. Submission of equipment to
4. Please ensure all items returned are marked as Returned for 'Repair/Modification' and protected by appropriate packaging (anti-static
bag for each board / relay with foam protection).
5. If a relay is not being returned in a case, please refer to instructions on Page 2.
Page 1 of 2
Tel No -
- Fields marked (M) are mandatory, delays in return will occur if not completed.
Serial SW Description of Fault or Modification required(M)
n°(M) Vers
Part n°(M)
Value for Customs (M):
is deemed as authorization to repair and acceptance of quote.
UK Grid Solutions
Yes
Equipment failed during service
Yes
Equipment failed during service
Yes
Yes
Customer Return Delivery Address (full street address) (M)
Part Shipment Accepted (Yes/No) –
Contact Name:
Tel No:
Email:
Date :
ACT Reference (M):
email –
Are Field
Volts
Used (M)
Yes How long?
Yes How long?
No
No (If No see repair Term 5)
Warranty
Y/N ?