Rhythm Resolve RMA Form w/ LM5BA (Production)

Rhythm Resolve Warranty
Request Form

Submit a warranty request for
POC, TOC3, LM5BA, or LM10A.

Please note: For warranty issues involving other products, email quality@rhythmhc.com

Before You Submit a Warranty Request
► Vist our Support Center

Select POC, TOC3, LM5BA, or LM10A Warranty Request

Company

Purchase Order # for Replacement LM10A(s). If PO not required enter N/A.

Purchase Order # for Replacement LM5BA(s). If PO not required enter N/A.

Purchase Order # for Replacement POC(s). If PO not required enter N/A.

Purchase Order # for Replacement TOC3(s). If PO not required enter N/A.

Account Number

Number of Return Labels Needed

Serial # POC 1 Example: 23BDA000001 (11 digits)

Serial # TOC3 1 Example: 23BDA000001 (11 digits)

Serial #1 LM5BA Example: 23BDA000001 (11 digits)

Serial #1 LM10A Example: 23BDA000001 (11 digits)

Reason for return for POC #1. Select error message from below.

Reason for return for TOC3 #1. Select error message from below.

Are your filters cleaned/changed? Have you run the unit in a temperature controlled environment for 30 minutes?

Reason for return for LM5BA #1. Select error from below.

Reason for return for LM10A #1. Select error from below.

Serial # POC 2 Example: 23BDA000001 (11 digits)

Serial # TOC3 2 Example: 23BDA000001 (11 digits)

Serial #2 LM5BA Example: 23BDA000001 (11 digits)

Serial #2 LM10A Example: 23BDA000001 (11 digits)

Reason for return for POC #2. Select error message from below.

Reason for return for TOC3 #2. Select error message from below.

Are your filters cleaned/changed? Have you run the unit in a temperature controlled environment for 30 minutes?

Reason for return for LM5BA #2. Select error from below.

Reason for return for LM10A #2. Select error from below.

Serial # POC 3 Example: 23BDA000001 (11 digits)

Serial # TOC3 3 Example: 23BDA000001 (11 digits)

Serial #3 LM5BA Example: 23BDA000001 (11 digits)

Serial #3 LM10A Example: 23BDA000001 (11 digits)

Reason for return for POC #3. Select error message from below.

Reason for return for TOC3 #3. Select error message from below.

Are your filters cleaned/changed? Have you run the unit in a temperature controlled environment for 30 minutes?

Reason for return for LM5BA #3. Select error from below.

Reason for return for LM10A #3. Select error from below.

Serial # POC 4 Example: 23BDA000001 (11 digits)

Serial # TOC3 4 Example: 23BDA000001 (11 digits)

Serial #4 LM5BA Example: 23BDA000001 (11 digits)

Serial #4 LM10A Example: 23BDA000001 (11 digits)

Reason for return for POC #4. Select error message from below.

Reason for return for TOC3 #4. Select error message from below.

Are your filters cleaned/changed? Have you run the unit in a temperature controlled environment for 30 minutes?

Reason for return for LM5BA #4. Select error from below.

Reason for return for LM10A #4. Select error from below.

Serial # POC 5 Example: 23BDA000001 (11 digits)

Serial # TOC3 5 Example: 23BDA000001 (11 digits)

Serial #5 LM5BA Example: 23BDA000001 (11 digits)

Serial #5 LM10A Example: 23BDA000001 (11 digits)

Reason for return for POC #5. Select error message from below.

Reason for return for TOC3 #5. Select error message from below.

Are your filters cleaned/changed? Have you run the unit in a temperature controlled environment for 30 minutes?

Reason for return for LM5BA #5. Select error from below.

Reason for return for LM10A #5. Select error from below.

Serial # POC 6 Example: 23BDA000001 (11 digits)

Serial # TOC3 6 Example: 23BDA000001 (11 digits)

Serial #6 LM5BA Example: 23BDA000001 (11 digits)

Serial #6 LM10A Example: 23BDA000001 (11 digits)

Reason for return for POC #6. Select error message from below.

Reason for return for TOC3 #6. Select error message from below.

Are your filters cleaned/changed? Have you run the unit in a temperature controlled environment for 30 minutes?

Reason for return for LM5BA #6. Select error from below.

Reason for return for LM10A #6. Select error from below.

Serial # POC 7 (Example: 23BDA000001)

Serial # TOC3 7 (Example: 23BDA000001)

Serial #7 LM5BA (Example: 23BDA000001)

Serial #7 LM10A (Example: 23BDA000001)

Reason for return for POC #7. Select error message from below.

Reason for return for TOC3 #7. Select error message from below.

Are your filters cleaned/changed? Have you run the unit in a temperature controlled environment for 30 minutes?

Reason for return for LM5BA #7. Select error from below.

Reason for return for LM10A #7. Select error from below.

Serial # POC 8 Example: 23BDA000001 (11 digits)

Serial # TOC3 8 Example: 23BDA000001 (11 digits)

Serial #8 LM5BA Example: 23BDA000001 (11 digits)

Serial #8 LM10A Example: 23BDA000001 (11 digits)

Reason for return for POC #8. Select error message from below.

Reason for return for TOC3 #8. Select error message from below.

Are your filters cleaned/changed? Have you run the unit in a temperature controlled environment for 30 minutes?

Reason for return for LM5BA #8. Select error from below.

Reason for return for LM10A #8. Select error from below.

Serial # POC 9 Example: 23BDA000001 (11 digits)

Serial # TOC3 9 Example: 23BDA000001 (11 digits)

Serial #9 LM5BA Example: 23BDA000001 (11 digits)

Serial #9 LM10A Example: 23BDA000001 (11 digits)

Reason for return for POC #9. Select error message from below.

Reason for return for TOC3 #9. Select error message from below.

Are your filters cleaned/changed? Have you run the unit in a temperature controlled environment for 30 minutes?

Reason for return for LM5BA #9. Select error from below.

Reason for return for LM10A #9. Select error from below.

Serial # POC 10 Example: 23BDA000001 (11 digits)

Serial # TOC3 10 Example: 23BDA000001 (11 digits)

Serial #10 LM5BA Example: 23BDA000001 (11 digits)

Serial #10 LM10A Example: 23BDA000001 (11 digits)

Reason for return for POC #10. Select error message from below.

Reason for return for TOC3 #10. Select error message from below.

Are your filters cleaned/changed? Have you run the unit in a temperature controlled environment for 30 minutes?

Reason for return for LM5BA #10. Select error from below.

Reason for return for LM10A #10. Select error from below.

If you selected other, you must provide additional info here. (Add N/A if no additional info.)

Please provide additional info regarding Yellow or Red Light Error on each LM5BA Warranty request.

Please provide additional info regarding Yellow or Red Light Error on each LM10A Warranty request.

Units Ship From Address

Street Address

Street Address Line 2

CityState

Zip Code

Replacement Units Ship to Address

Street Address

Street Address Line 2

CityState

Zip Code

Contact Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Before You Submit a Warranty Request ► Vist our Support Center

If you have more than 10 products to submit, please fill out all columns in the form below.

Before You Submit a Warranty Request
► Vist our Support Center

If you have more than 10 products to submit,
please fill out all columns in the form below.