Return Material Authorization

Contact Information

Company Address(Required)
Contact Name(Required)

Pick Up Address

* Please skip the Address & Contact Fields below if selected.
* Please skip the Address & Contact Fields below if selected.
Company Address
Lift Gate Needed?(Required)

Job Site Information

* Please skip the Address & Contact Fields below if selected.
* Please skip the Address & Contact Fields below if selected.
* Please skip the Address & Contact Fields below if selected.
* Please skip the Address & Contact Fields below if selected.
Address
Reason for Return(Required)
Please mark all that apply. Note: Core charges will not be refunded if the compressor is returned back to customer.

Failed Compressor Info

Field Data Info

Transport Compressor Only

Replacement Compressor

Failure Information

Please provide a failure description. This can help our inspection team determine the best and safest course of action (e.g. high pot test, leak check, run test, disassembly, etc.)
Failure Code
Request to be Present at Inspection?
Customer Requests That Material is Returned After Inspection?
**** BITZER reserves the right to scrap any returned compressor after inspection unless the customer provides written notice in advance that the compressor should be returned (frieight paid by customer). Please mark the appropriate box and provide a freight account number if the compressor is to be returned. Note: Core charges will not be refunded if the compressor is returned back to customer.

* If the customer wants the material returned to them after inspection then they must include carrier and account number and a customer signature.
Please view our Terms and Conditions (link opens in new window).
Terms & Conditions(Required)
This field is for validation purposes and should be left unchanged.
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