Service Repair Record
RMA number:
Service Provider
Company Name:
Service technician's name:
Customer:
Company Name:
Customer's Name:
Phone:
Address:
City:
Country:
Product
Model number:
Date service was requested:
Parts used
Clarity Part number
!
Always get the serial number of the unit you are
working on.
142
Warranty?
Non-warranty?
State / Province:
Postal Code:
Serial number:
Date service was performed:
Quantity
Description of failure