Rhythm Resolve RMA Form w/ LM5BA (Production)

*PORTABLE OXYGEN CONCENTRATORS, LM5BA, and LM10A ONLY

Start a Warranty request for a Portable Oxygen Concentrato, LM5BA, or LM10A by filling out the form below.

PLEASE NOTE:
For warranty issues with other products email
quality@rhythmhc.com

Select POC, LM5BA, or LM10A Warranty Request*

Company*

Purchase Order # for Replacement LM10A(s)*

Purchase Order # for Replacement LM5BA(s)*

Purchase Order # for Replacement POC(s)*

A PO is required for your replacement order. You will receive credit once your return unit has been received and processed.

Account Number*

Number of Return Labels Needed*

Serial # POC 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.

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 #2 LM5BA Example: 23BDA000001 (11 digits)

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

Reason for return for POC #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 #3 LM5BA Example: 23BDA000001 (11 digits)

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

Reason for return for POC #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 #4 LM5BA Example: 23BDA000001 (11 digits)

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

Reason for return for POC #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 #5 LM5BA Example: 23BDA000001 (11 digits)

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

Reason for return for POC #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 #6 LM5BA Example: 23BDA000001 (11 digits)

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

Reason for return for POC #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 #7 LM5BA (Example: 23BDA000001)

Serial #7 LM10A (Example: 23BDA000001)

Reason for return for POC #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 #8 LM5BA Example: 23BDA000001 (11 digits)

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

Reason for return for POC #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 #9 LM5BA Example: 23BDA000001 (11 digits)

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

Reason for return for POC #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 #10 LM5BA Example: 23BDA000001 (11 digits)

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

Reason for return for POC #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

Same As Ship From Address

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.

I certify that this unit's case, screen and battery casing are free of cracks or damage.

I certify troubleshooting has been completed in full, internal/external filters are cleaned/changed.

*PORTABLE OXYGEN CONCENTRATORS, LM5BA, and LM10A ONLY Start a Warranty request for a Portable Oxygen Concentrato, LM5BA, or LM10A by filling out the form below.PLEASE NOTE:For warranty issues with other products emailquality@rhythmhc.com

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

*PORTABLE OXYGEN CONCENTRATORS, LM5BA, and LM10A ONLY

Start a Warranty request for a Portable Oxygen Concentrato, LM5BA, or LM10A by filling out the form below.

PLEASE NOTE:
For warranty issues with other products email
quality@rhythmhc.com

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