Warranty Return Form – RMA – Carrier Enterprise South Central Technical Support

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Customer Assurance Manager authorizing the unit return *

Customer Assurance Manager - Return Material Authorization. Please accept this unit into the warehouse and store for a CAM to inspect.

Date *

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Salesforce Case# *

RMA# *

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Dealer Name *

Dealer Account # *

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Model # *

Model #

Serial # *

Serial #

Job/Customer Address *

Address Line 1

Address Line 2

City

State

Zip Code

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Claim # *

Location Returned to *

Dealer Employee that is Returning the Product *

First

Last

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Received By (Print Name

First

Last

Received by (Signature)

Notification of Receipt to Authorizing Rep by

Date