RMA Form | Xeniam

Equipment Repairs Request Form

Important: A Helpdesk ticket number is required to proceed. Please contact our support team to receive pre-authorization before submitting this form

Site Name *

Physical location name where the equipment is currently installed

Contact Name *

Your Email *

Email to follow up on repair request

Delivery Address

Physical location where the equipment is currently installed and from where the equipment unit will be shipped after repair

VAT Number

VAT number or company registration number of the equipment purchasing entity

Purchase Invoice Copy

Invoice copy required for Warranty Validation

Support Ticket Number

Equipment to Repair

Manufacturer's official Model Number and Product Name

Equipment Serial Number *

Quantity to Repair

Problem Description

Problem description needs to be concise, clear, and focused on the technical symptoms to help the repair team diagnose and fix the fault quickly

Equipment Images

Submit