Return Authorization Request Form

I. DESCRIPTION

Model Numbers:*

one per line

Quantity*

Serial Numbers:*

one per line

PO Number for this repair:

(Not required for RA request)

II. REASON FOR RETURN

Please be as specific as possible*

Type of Calibration Required:*

If this is a Particle Counter, Mass Profiler, or Aerosol Monitor, please select the type of calibration you require. (Please only select one.)

This item is NOT a Particle Counter, Mass Profiler, or Aerosol Monitor.
NIST
ISO 21501-4

Attach documentation/photos as needed

Drop files here or

Max. file size: 50 MB.

III. CUSTOMER HEALTH AND SAFETY REPRESENTATIONS:

Please mark the answer that best fits the serial number(s) listed above.

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

Yes
No

If you answered “Yes” to the above question, please attach the Material Safety Data Sheet*

Max. file size: 50 MB.

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

Yes
No

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

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

Yes
No

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.

IV. SHIPMENT INFORMATION

Where will this shipment originate from?*

Domestic (within the USA)
International (outside the USA)

If your shipment will originate internationally, please download and complete our Foreign Shippers Declaration Form.

Click here to download our blank FSD form: https://metone.com/wp-content/uploads/2024/02/MetOneAcoemForeignShippersDeclarationForm-3-20240222-1.pdf

Upload Your Completed FSD Form Here:*

Once FSD is completed, signed, and scanned, please upload your completed FSD Form in PDF format below:

Drop files here or

Accepted file types: pdf, Max. file size: 50 MB.

V. COMPANY INFORMATION

Company*

Your Name*

First Last

Position

Phone*

Email Address*

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Shipping Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Signature

Sign with your mouse or with your finger on a touch screen.

Signature*

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Comments

This field is for validation purposes and should be left unchanged.

Return Authorization Request

Need to make a return?

Return Request w/ FSD