Return Authorization Form

Please complete this form to request a return authorization number (RA#). Upon receipt and review by Scaletron, a return authorization number will be emailed to you along with a copy of your filled out form.

All components must be shipped prepaid via UPS or FEDEX (Do not use USPS!) to Scaletron Industries Ltd’s. factory authorized repair center. A copy of the completed RA Authorization Form that includes a written explanation of the apparent problem must accompany all returned components. ***Please No Packing Peanuts***

**IMPORTANT: Please note that once we have provided a quote for repairs we need approval within 30 days. After that time, the equipment will be scrapped.**

"*" indicates required fields

Contact Person for Questions

Name*

First Last

Company Name*

Phone Number*

Email*

Item(s) Being Returned

Model Number*

Serial Number*

Please check item(s) being returned*

PC Board Only

PC Board & Indicator Door Only

PC Board & Indicator Box Only

Base Only

Entire Scale (Base & Indicator)

Other

Detailed Description of Problem Requiring Service*

Bill To

Name*

First Last

Title

Company*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Accounts Payable Phone Number*

Accounts Payable Email*

Ship To

Name*

First Last

Title

Company*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone

This field is for validation purposes and should be left unchanged.