BioSurveillance Systems
Food & Water Security Testing Systems
Hi-Res Melting for Mutation Discovery
Clinical Diagnostic System
RMA Step 2: Return Form

Once you have obtained an RMA number, please fill out the form below before returning an instrument. If your equipment is still under warranty, please supply the purchase date and instrument serial number. If your instrument is out of warranty, please supply a blank PO# for the repair and shipping charges. Click here to obtain price information for nonwarranty service and repairs. Please note that your item must be returned with a ITI assigned RMA# and decontamination documentation.

You MUST obtain an RMA number before filling out this form. Click here to request an RMA Number.
Contact Information
*Indicates required fields
First Name* Email*
Last Name* Telephone
Name of Institution* RMA No*:

Instrument Information
If you are returning an instrument, please fill in the information as complete as possible. The more complete the information is, the quicker we can process your RMA.
Is your Instrument under Warranty?
What was the Purchase Date of your Instrument?
If your Instrument is out of Warranty, please supply a PO number for repair and shipping charges:
What is the Model of your Instrument?
Instrument Serial number:
This number is located on the serial label on the instrument.
Laptop/Computer Serial/Service number:
Laptop Login Username:
This is needed to QC test your instrument.
Laptop Password:
This is needed to QC test your instrument.
Notes:

Kit and Accessory Information
If you are returning a reagent kit, master mix or some other chemistry or an instrument accessory that we offer, please fill in the information as complete as possible. The more complete the information is, the quicker we can process your RMA.
What was the Purchase Date of your kit or accessory?
What Kit or Accessory are you returning?
What is the Lot No. on the kit?
How many Kits are you returning?
Notes:

Declaration of Decontamination
To ensure the health of our employees and facility, all instruments being returned need to be properly decontaminated.
By submitting this form, you are stating that the instrument being returned has been decontaminated according to established Idaho Technology Inc. biological decontamination procedures. Click here to download the decontamination procedures.
Which method of decontamination was used?
What chemical, infectious, toxic or radioactive substances have been in contact with this product? (Also indicate if flammable or corrosive.)
What Idaho Technology assays have been run on this instrument within the last 6 months?
Authorization Notice

By submitting this authorization form to return this product, the user assumes all responsibility for decontamination and cleaning. Idaho Technology Inc. reserves the right to refuse the delivery of products that do not appear to have been properly decontaminated. If the equipment was used with or around radioactive material, the signature of the safety officer is also required.
Name of Submitter

Please verify all of the information you are submitting to ensure it is complete and correct. Any discrepancy(s) will delay your request.

Idaho Technology respects and protects the privacy of our users.

Check out Idaho Technology's Legal Notices