Equipment Repair Authorization

Completing this form before sending your equipment in for repair will speed up the repair process and aid in returning your equipment quickly.

After you have submitted the completed form, you will have an opportunity to print a copy for your records and a copy will be emailed to you at the address you supply below.

Your Information

Name

Organization

Telephone

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Return Shipping Address

Street Address

City

State/Province

Zip/Postal Code

Country

Billing Address

Street Address

City

State/Province

Zip/Postal Code

Country

Tell Us About The Equipment And Accessories You Are Sending

Return List

Please list each piece of equipment and any accessories you are sending for repair. Please include serial number where applicable.

Equipment	Serial Number

Return Date

When do you anticipate shipping the equipment to Smith-Root?

Describe The Problem

Provide any information you have on the potential cause of disrepair. Increased details reduce the time spent diagnosing the problem leading to reduced repair costs for you.

Repair Instructions

Select An Option

Would you like a pre-repair estimate or would you like Smith-Root to proceed with repairs immediately upon receiving the equipment. A minimum of one hour labor will be charged on all repairs or inspections.

Repair equipment.

RUSH REPAIR. Equipment will be repaired and shipped within 2 business days of receiving equipment and payment information. Additional $50 charge.

Inspect equipment and prepare estimate. Repairs will not proceed without customer approval.

By submitting you agree to Smith-Root's Repair Terms and Conditions.