Customer Name: Phone: Company Name : Prior to processing any returned unit to Telephonics please complete the following: Is the returned item a Telephonics unit Yes No Is there a PO or Contract No. Yes No If yes, PO/Contract No. Telephonics Part No. Telephonics Serial No. Product Name/Identity Condition of Returned Item Good Fair Poor Qty Returned Warehouse Tracking Information Carrier: Fedex UPS USPS Other If other, please specify: Tracking No.: Import Jurisdiction ITAR License Commerce If license is required, all licensing should be listed on the in-bound paperwork of all ITAR or licensable shipments. License information on the AWB label Yes No Not Applicable License information on the Commercial invoice Yes No Not Applicable For all ITAR or licensed shipments All Shippers /Customers/ Owners of Telephonics Defense refer to, “To Items Located Outside the U.S. Required Shipping at the beginning of this form. Procedures” found Type of Repair US Goods Yes No Repair Yes No Return Yes No Upgrade Yes No Warranty Yes No Non-Warranty Yes No
Customer Name: Phone: Company Name : Prior to processing any returned unit to Telephonics please complete the following: Is the returned item a Telephonics unit Yes No Is there a PO or Contract No. Yes No If yes, PO/Contract No. Telephonics Part No. Telephonics Serial No. Product Name/Identity Condition of Returned Item Good Fair Poor Qty Returned Warehouse Tracking Information Carrier: Fedex UPS USPS Other If other, please specify: Tracking No.: Import Jurisdiction ITAR License Commerce If license is required, all licensing should be listed on the in-bound paperwork of all ITAR or licensable shipments. License information on the AWB label Yes No Not Applicable License information on the Commercial invoice Yes No Not Applicable For all ITAR or licensed shipments refer to, “To All Shippers /Customers/ Owners of Telephonics Defense Items Located Outside the U.S. Required Shipping Procedures” found at the beginning of this form. Type of Repair US Goods Yes No Repair Yes No Return Yes No Upgrade Yes No Warranty Yes No Non-Warranty Yes No
F1204-RMA-FormProtected.docx