Met One Instruments is ready to help with your return. Please complete this form.

Product Information

Product

Message

Customer Health and Safety Representations

YesNo

Have the goods which are being returned ever been exposed to toxic, hazardous or dangerous chemicals and/or materials?*

YesNo

Have the goods which are being returned ever been exposed to biological/infectious substances?

If you answered “Yes” to the above question, list below the names of biological/infectious substances it was exposed to:

YesNo

Have the goods which are being returned ever been exposed to a radiological testing process?

If you answered “Yes” to the above question, please describe:

All equipment sent to Met One Instruments, Inc. must be properly and completely cleaned, decontaminated, and made safe to handle before being returned for calibration or repair.

Company information

Company

Name

Consent

Agree

I hereby certify that the information contained in this request is true and complete to the best of my
knowledge and all returned goods being sent on this return authorization have been properly and
completely cleaned, decontaminated, and made safe to handle.