Return Authorization Request Form

By providing your contact name & e-mail address you are declaring that the equipment being returned is free from any form of contamination or hazard harmful to human health.

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Please select the country
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State is required
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Industry name is required
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The instrument must be decontaminated before the instrument is returned. Please decontaminate the product(s) and make the declaration and decontaminate before returning. If the instrument returned is found to be contaminated by harmful substances you may be prosecuted under the prevailing law.

REGIONAL DISTRIBUTOR / AGENT: Note: We will always contact the authorized distributor/agent in the first instance.
 
EQUIPMENT DETAILS
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SERVICES REQUIRED
Please confirm below services:
EQUIPMENT ASSESSMENT
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View AMETEK Land Part-Exchange Program.
View AMETEK Land Terms and Conditions.
Independent certification ISO/IEC 17025 accredited by UKAS (UK), NABL (IN) or NIST (USA).
CERTIFICATION REQUIREMENT

Please confirm below services:

Upon receipt, the unit will be powered on to verify operation, then certified at the points specified after cleaning the outer lens or protection glass. This option is not available if the unit needs repairing.

As reported as found, but a quotation will be sent for repair and the certification suspended if found to be outside published specification.

Please enter a value between 3 to 20
Please enter a value between 3 to 20

For specific ad-hoc temperatures, please list these in the ‘Other services requested’ section below

Please note that all information supplied will be used only in the case of the return authorization request only and not for marketing purposes.