Return Authorization Form

Please fill out the RA Information completely and click Submit when your request is complete. We will contact you with any questions. Please ensure your contact information is correct before submitting. Due to spam the PAA password is now required to submit an request.

12/11/24

Company Information:

Company Name:

Contact Name:

Phone Number:

E-mail Address:

Product Information:

Vendor Name:

Product Model#

Product Serial#

Original Date of Purchase

Original PAA Invoice#

Manufacturer's Case# or RMA#

Vendor Notes:

Description of Problem:

Product Location:

Replacement Option:

Enter PAA Password:

Enter PAA Password to Submit.