Gas Detection For Life

Personal monitors and fixed gas detectors

 

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Service Form

Please use one form per instrument
for all repairs including calibration and warranty items.


Each instrument sent in for repair must be accompanied by this Service Form. To expedite repair orders, please include a "Not to exceed" dollar amount. Method of payment for all non-warranty repairs to be made by credit card or check prior to instrument return. Failure to provide complete information may delay completion of the repair order.

For a PDF of the RKI Service Form click here.


Check One: and return
Claim
Please make a selection.
 
Serial #: A value is required.
Shipping Method when returned
Collect Account #
Estimate approval before repair?
Yes No
Not to exceed amount $
Company Name:
Contact Name:
A name is required.
Email Address:
An email address is required.Invalid format.
Billing Address:
City:
State:
Zip / Postal Code:
Country:
Phone Number:
Fax Number:
Shipping Address (if different from above address) Billing Address (if different from above address)
Please list instrument & accessories being returned.
1. 4.
2. 5.
3. 6.
Please give a detailed description of the problem or special instructions.

A description of problem is required.

Please Note:
  • There is a $85 estimate charge per instrument. Estimate fee is waived if instrument is repaired. Shipping Charges are additional and are generally pre-paid and added to the invoice.
  • All repairs must be accompanied with completed service order form.
  • Payment must be by credit card or check only
  • Do not return compressed gas cylinders with repair.
1. Please print this page and send it with your RKI product(s) to the address below.
3. Ship instrument to: RKI Instruments, Attn: Repair Dept, 33248 Central Ave., Union City, CA 94587
2.