Warranty Claim Form

Warranty Claim Form
OpenPendingClosed
Open Date

MonthDayYear
Pending Date

MonthDayYear
Closed Date

MonthDayYear
QC MFG NOTES
Type of Customer:*
Select the type of customer you are
Name of Requestee*
Enter your full name
Company Name
Enter your company name
Purchase Order #*
Please enter your PO#
E-mail*
Enter your email
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
ReturnExchangeWarranty Claim
ReturnExchange: Return ProductExchange: Request Scrap In Field
Exchange: Return Product will be used at the discretion of QC Manufacturing, Inc. We will email you if the exchange type needs to be changed after submittal of the RMA.
Product Affected:*
Product:
Issue:*
Other Issue:
Notes:*
Please provide more information on your issue
Attach a file to show your claim:

Upload a File
Use the shift key to select multiple attachments. (Supported file extensions: .pdf, .jpg, .jpeg, .png, .gif, .tiff) Cancelof
Disclaimer: All submissions require a proof of purchase (invoice, sales receipt, etc.) for an RMA number to be issued.
Locating Your Serial Number: The serial number for your fan is located on a sticker on the motorhead of your fan or on the back of your Owner's Guide.
Date of Purchase*

MonthDayYear
Serial Number of Fans*
For verification of registration
Upload your proof of purchase

Upload a File

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Tracking Number:
I agree
Customer agrees that troubleshooting has been attempted and understands the warranty policy.
Should be Empty: