Clic-iT Smart Belay Repair/Inspection Request

Unit #
RPE SERVICES
Clic-iT Smart Belay Inspection/Certification/Repair request
Please fill out this section.

After submitting it, we will email you a PDF form to print out and send in with the Clic-iT unit.

Be sure to remove any added-on equipment (tethers, carabiners, quick links etc) before shipping.

Fill out a new form for each box you ship.

Ship unit and printed form to:

Clic-iT Service Center
15995 SW 74th Ave
Tigard, OR 97224
Organization Name *
Your Name *
Today's Date *

Month Day Year
Date
Date needed to be returned by

Month Day Year
Date
Email *
example@example.com
Phone *
Address *
Unit #
Serial Number of unit *
Repairs you think are needed/comments
Inspect/certify, repair, etc...
Type of Service Needed *

Repair Annual Inspection 4 Year Cable Replacement Other
Should be Empty:

Clic-iT Smart Belay Inspection/Certification/Repair request