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Esteam Material Return Authorization M.R.A. Request Form

MRA INSTRUCTIONS AND PROCEDURES

A Distributor requesting an MRA for potential warranty claim is required to complete the below MRA request form. All areas noted with a * must be completed for consideration and to submit the form online to Esteam. If all areas are not completed the form will not go through to Esteam.

Once Esteam has received your request for an MRA number it will be reviewed by the Service/Warranty Manager. Upon approval an MRA number will be issued to you on the form submitted and returned by email to you.

Please return the defective item(s) to the Esteam factory for warranty analysis, by prepaid ground freight as per the Esteam warranty. Please include a copy of the completed MRA document with the product being returned. Write the MRA number on the outside of the packaging the defective part is being returned in.

Due to time sensitivity of some products, all MRA items must be returned within 30 days of MRA issue date, or warranty on the item(s) will be denied.

Any item(s) sent without an MRA number will be returned freight collect upon receiving.

* Date Submitted:   * Distributor:
* Contact Fax Number:   * Contact Name:
* Equipment Model:   * Email:
* Original Date of Sale:   * Serial Number:
* Date of Claim:   Hours on meter:
* Customer Name:   * Customer Invoice #:
  PART # QTY DESCRIPTION SERIAL # or NA REASON FOR RETURN
*1
2
3
4
5
6
7 Labour 90 Day Labour @ $50.00/hr

Please enter the code you see in the picture below into the security field beneath it

Security Picture

* ALL OF THE ABOVE FIELDS MUST BE FILLED IN PRIOR TO SENDING


OFFICE USE ONLY
M.R.A. Number: ___________

Date Received:    Received by:
Location of Material:    Examination Report:
Warranty: Yes No    Issue Credit: Yes No
Item: #1 #2 #3 #4 #5 #6 #7
Date:    Invoice Number:
Repair and Return
Date:    Invoice Number:
Item: #1 #2 #3 #4 #5 #6 #7
Warranty Denial Notification
Date:    
Item: #1 #2 #3 #4 #5 #6 #7
90 Day Labour Credit Yes No    Approved Hours @ $50.00
Warranty Inventory: Yes No $50 Deductable Charge
 
Original Vendor RMA# for return:
 
Name:    Company Name:
Account #:    Date of purchase:

Remarks: