Return Merchandise Authorization Request

Step 1 / Product & Fault Information

Brand*
Prior ScientificQueensgate

Additional information

If you have any additional information please complete the following fields to help us with processing your RMA request:

Please add any images of equipment that may help us diagnose the problem. Max 4 files. (When uploading multiple images, remember to hold down the Ctrl key while selecting them.)

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Step 2 / Decontamination Information

RMA Decontamination Guidance Download

I confirm I have read and understood the decontamination guidance

Has the equipment been used?*
YesNo

Have any substances been in contact with the equipment?*
YesNo

Substance details

Please provide details of substances used with the equipment. One entry per substance. If no substance was used, enter N/A where applicable.

Is protective equipment required?*
YesNo

If hazardous, please indicate the category below:
ExplosiveFlammableSerious Health HazardCorrosiveEnvironmental HazardToxicHazardousOxidising

Additional substance (if applicable)

Is protective equipment required?
YesNo

If hazardous, please indicate the category below:
ExplosiveFlammableSerious Health HazardCorrosiveEnvironmental HazardToxicHazardousOxidising

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Step 3 / Declaration & Shipping / Billing

‘Safe to handle’ declaration

By ticking the below box you are declaring the following:

• You are a competent person who has knowledge of the substances used with the equipment
• You have made reasonable inquiry as to the substances in contact with the equipment
• The information given is accurate and no information has been withheld
• The decontamination methods are in accordance with your own health and safety procedures
• All surfaces of the equipment are safe to touch

I hereby declare that the equipment due to be returned to Prior Scientific is safe to handle*

If you have followed the decontamination guidance but believe there may be contaminants or other substances in inaccessible areas (e.g. between stage plates) please tick here. Ticking below does not invalidate the safe-to-handle declaration.

Shipping & Billing Information

Equipment being returned to Prior Scientific must be in its original protective packaging, and Prior will not be responsible for any damage incurred during transit. If you no longer have the original packaging, please contact us for a quote. Equipment returned without its original packaging will incur a packaging charge to ensure the safe return shipment of the product after repair.

Shipping Address

I have read and agree to the privacy policy.*

Please check if billing address is different from shipping address

Billing Address

This is the address and contact for any correspondence relating to charges incurred for during the RMA process. Distributor details should be entered here where equipment is under service contract/warranty and is being shipped directly between Prior Scientific and the owner of the equipment

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