Distribution Warranty / RMA Request

CUSTOMER INFORMATION

Date of Request*

Company Name*

Person Requesting Return*

First Name Last Name

Phone*

Email*

ORDER INFORMATION

Please provide either of the of following:*

Packing Slip #
Sales Invoice #

Packing Slip #*

Sales Invoice #*

Purchase Order #*

Date Part was Ordered*

Reason for Return*

Select the correct option below.

Warranty Request
Part No Longer Needed
Order Discrepancy (i.e. shortages, overages, customer error, wrong part, etc.)

AIRCRAFT INFORMATION

Aircraft Serial Number, Model Number and Tail Number*

Flight Hours on Aircraft*

Cycles on Aircraft*

Quantity*

FAILED UNIT

Part Number*

If entering multiple part numbers, please separate the list with commas.

Serial Number*

Detailed Failure Description*

Would you like to attach any files to this submission (image files, etc.)?*

No
Yes

File(s)

Drop files here or

Max. file size: 50 MB.

Flight Hours on Failed Unit*

Cycles on Failed Unit*

Date of Installation of Failed Unit*

Date of Removal of Failed Unit*

Is a Replacement Needed?*

Yes
No

REPLACEMENT SHIPPING INFORMATION

Part Number and Serial Number of Replacement Installed

If available

Business Where Replacement Unit is to be Shipped*

Address Where Replacement Unit is to be Shipped*

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

Method of Shipment*

Freight Account Number*

WARRANTY REQUEST INFORMATION

Is this warranty recommended by a FIELD SERVICE REP or CUSTOMER RESPONSE CENTER?*

Yes
No

Case Number and FSR/CRC Name*

I acknowledge that this request may incur an evaluation fee if no fault is found with the part being returned to VSE Aviation.*

I agree

PART INFORMATION

Part Information Log*

Please enter as many part numbers as needed. Use the plus sign to add more (maximum of 40)

Part Number	Serial Number	Quantity

For What Specific Reason Was the Part Ordered and is No Longer Required?*

Was Part Installed, Fitted or Used for Troubleshooting*

Yes
No

Was the Tamper-Proof Seal Voided or Part Removed from ESD Bag?*

Yes
No

Aircraft Model and Serial Number*

Aircraft Flight Hours / Cycles*

I acknowledge that a restocking fee may apply to this return request.*

I agree

ORDER DISCREPANCY

Part Information Log*

Please enter as many part numbers as needed. Use the plus sign to add more (maximum of 40)

Part Number	Serial Number	Quantity

Was the Tamper-Proof Seal Voided or Part Removed from ESD Bag?*

Yes
No

Was Part Installed, Fitted or Used for Troubleshooting*

Yes
No

Why Was This Part Ordered?*

What is the Correct Part Number Needed?*

Was the Correct Part Purchased from VSE Aviation?*

Yes
No

PO # or VSE Sales Order #*

Aircraft Model and Serial Number*

Aircraft Flight Hours / Cycles*

I acknowledge that a restocking fee may apply to this return request.*

I agree

Is a Replacement Needed?*

Yes
No

REPLACEMENT SHIPPING INFORMATION

Part Number and Serial Number of Replacement Installed

If available

Business Where Replacement Unit is to be Shipped*

Address Where Replacement Unit is to be Shipped*

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

Method of Shipment*

Freight Account Number*

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Distribution Warranty / RMA Request