Return/Service Request Form
Please Select ONE of the following
*
Request for Repair / Service / Programming
Replacement - Wrong Shipment
Warranty Replacement - Defective Material
Warranty Replacement - DOA (Dead on Arrival)
Return for Credit (Restocking Fees May Apply)
Trouble Ticket - (If this is urgent please call 800-283-COMM)
Technical Issue Type:
*
Dispatch Console
System
Radio - Vehicular
Radio - Portable
Company Name
*
Requestor Name
*
First Name
Last Name
Requestor Email
*
example@example.com
Telephone Number
*
-
Area Code
Phone Number
Building Location / Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date and Time of Issue being Reported
*
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Please Describe in Detail What Happened
*
Original PO Number or Invoice Number
Purchase Date
-
Month
-
Day
Year
Date
*
Additional Comments
Pick-up and Return Services
Pick-up and Return Services
*
Pick-up and Return Services Requested
Pick-up Services Only
Return Services Only
Will Call
Pick-up and/or Return Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Billing Information
Address
Street Address
Street Address Line 2
City
State
Zip Code
Billing Email Address
example@example.com
Are Quotes Required prior to Repair?
Yes*
No
*There is a minimum evaluation fee of $75.00 if quote is declined.
Submit
Should be Empty: