Solutions Gas Detectors Training Rental Repair Resources About Us Blog Talk to an Expert Home > Repair > Return Repair Form REPAIR FORM STEP 1 OF 3 Please complete the following steps to ship your items to one of our service locations: Complete the form below Print your confirmation email to include with your shipment Ship ONLY the items that require maintenance or disposition Package your items and printed email in an appropriate package for shipment Review the lithium battery shipping restrictions to include DOT and IATA labeling guidelines Do not ship any items that may be considered hazardous or contaminated (biological, chemical, physical or radiological substance) PLEASE NOTE: Use this form to return customer-owned equipment needing repair services. DO NOT use this form to return iNet Exchange and/or rental instruments. REPAIR LOCATION REPAIR LOCATION* Please select the location where you would like to ship your instrument to. Please Select Industrial Scientific - Pittsburgh, Pennsylvania | 1 Life Way, Pittsburgh, Pennsylvania 15205-7500, United States Industrial Scientific - Houston, Texas | 4744 Vista Road, Pasadena, Texas 77505, United States Industrial Scientific - Edmonton, Alberta | 167 Provincial Avenue, Unit #170 , Sherwood Park, Alberta T8H 0M3, Canada Industrial Scientific - Arras, France | 11D rue Willy Brandt, CS 80097, 62002 Arras Cedex, France Industrial Scientific - Wilmslow, England | Bollin House, Bollin Walk, Wilmslow, Chesire East SK9 1DP United Kingdom Industrial Scientific - Shanghai, China | 290 Guiqiao Rd, Pudong, Shanghai, 201206, China Industrial Scientific - Singapore | 3 International Business Park #05-23/24 Nordic European Centre, Singapore, 609927 Industrial Scientific - Australia | Millers Junction, 15 Cabot Drive, Altona North VIC 3025 Australia Industrial Scientific - Indaiatuba, Brazil | Rua Capitão Alberto Mendes Junior, 80 - Salas 21 e 22, CEP: 13330-560, Indaiatuba, SP, Brasil Industrial Scientific - Doha, Qatar | Intramas WLL, Barwa Village, Building 1 Office 10 - 12, Doha Qatar DECISION MAKER Person responsible for approval and payment of repair FIRST NAME* LAST NAME* PHONE NUMBER* EMAIL* COMPANY NAME* STREET ADDRESS* CITY* POSTAL CODE* COUNTRY* Please Select Afghanistan Albania Algeria Andorra Angola Antigua & Deps Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia Herzegovina Botswana Brazil Brunei Bulgaria Burkina Burundi Cambodia Cameroon Canada Cape Verde Central African Rep Chad Chile China Colombia Comoros Congo Congo {Democratic Rep} Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland {Republic} Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar, (Burma) Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russian Federation Rwanda St Kitts & Nevis St Lucia Saint Vincent & the Grenadines Samoa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Yemen Zambia Zimbabwe BILLING AND SHIPPING INFORMATION BILLING INFORMATION Click yes if same as Decision Maker Yes No SHIPPING INFORMATION IS SAME AS BILLING INFORMATION* Yes No PRE-APPROVAL AND PAYMENT PREAPPROVAL AND PAYMENT FOR YOUR REPAIR* Repair pre-approval can greatly speed up the repair process for your instrumentation. Repairs are performed during the evaluation and estimates are generated only if the repair cost exceeds the pre-approval amount. Proceed with repair if costs are under 50% of instrument list price Proceed with repair if costs are under this amount No Pre-approval Credit Card: Once you receive your repair estimate, please call the service center to provide your credit card details. EQUIPMENT INFORMATION Please do not ship spare sensors, components, etc. into the Repair Center. EQUIPMENT MODEL Please Select Radius BZ1 Ventis Pro MX6 iBrid Ventis MX4 Tango TX1 GasBadge Pro T40 Rattler Docking Station RGX Gateway Other SERIAL NUMBER PROBLEMS OBSERVED EQUIPMENT MODEL 2 Please Select Radius BZ1 Ventis Pro MX6 iBrid Ventis MX4 Tango TX1 GasBadge Pro T40 Rattler Docking Station RGX Gateway Other SERIAL NUMBER 2 PROBLEMS OBSERVED 2 EQUIPMENT MODEL 3 Please Select Radius BZ1 Ventis Pro MX6 iBrid Ventis MX4 Tango TX1 GasBadge Pro T40 Rattler Docking Station RGX Gateway Other SERIAL NUMBER 3 PROBLEM OBSERVED 3 EQUIPMENT MODEL 4 Please Select Radius BZ1 Ventis Pro MX6 iBrid Ventis MX4 Tango TX1 GasBadge Pro T40 Rattler Docking Station RGX Gateway Other SERIAL NUMBER 4 PROBLEM OBSERVED 4 EQUIPMENT MODEL 5 Please Select Radius BZ1 Ventis Pro MX6 iBrid Ventis MX4 Tango TX1 GasBadge Pro T40 Rattler Docking Station RGX Gateway Other SERIAL NUMBER 5 PROBLEM OBSERVED 5 SPECIAL CALIBRATION - ALARM SETTINGS - NIST REQUEST - NOTES TERMS AND CONDITIONS I hereby certify these items are NOT considered to be hazardous or contaminated by any of the following types of substances: biological, chemical, physical or radiological. DO NOT SHIP ANY CONTAMINATED ITEMS UNDER PENALTY OF LAW. Hazard Exposure (Please see above.)* Battery Shipping Requirements Effective Jan 1, 2013 ICAO and IATA have changed the packing instruction for all air shipments containing lithium-ion and lithium metal batteries. Instruments with lithium-ion or lithium metal batteries may be shipped, however, the batteries by themselves should not be shipped. These changes are effective when the batteries in the shipment exceed Section II packing instruction requirements. Please refer to this link for IATA lithium battery shipping guidance as well as review our Return Goods Policy. I Accept the Battery Shipping Requirement. (Please see above)* Service Department Terms and Conditions: In order to submit your instrument for repair you must check that you have read and understand our terms and conditions of the service department I accept the Service Department Terms and Conditions. (Please see above)* I accept that I will NOT ship calibration gas cylinders and any other items that may be considered hazardous materials to the service department. Calibration Gas Cylinders received at the repair center will not be returned with your serviced equipment* Singapore Repair Location - Terms and Conditions: Warranty Claim Guidelines: Standard warranty rules apply. All claims are subject to approval after a full diagnosis has been performed on the instrument. Instruments must be returned complete. Any claims returned with loose components or spare parts will be rejected. Urgent Service: An additional labour/administration charge of USD$40.00/SGD$50.00 will be incurred for each instrument. Diagnostic Fee: A USD$60.00/SGD$80.00 per instrument evaluation charge will be applicable should the repair not be accepted upon our quotation. Freight/Delivery: For Local Delivery: Courier charges of USD$30.00/SGD$40.00 will be incurred per one-way trip. For Overseas Freight/Delivery: All costs including taxes to be borne by requesting party. By checking this box, you are opting in to receive marketing information and product updates from Industrial Scientific. You may unsubscribe at any time by clicking “unsubscribe” at the bottom of our emails or by emailing unsubscribe@indsci.com. Review our Privacy Notice to understand how your data is used. Solutions By Application Connected Safety Confined Spaces iNet Exchange Live Monitoring Gas Detectors Product Search By Model By Gas ASC Parts Warranty Request Detector Rental Training Repair About Us Our Leaders Careers Corporate Certifications Policies The Monitor Blog Languages Language Selection Website Feedback Cookies Settings Did you find a bug, error or a feature you like? Let us know! 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