USMS RMA Form View RMA Instruction US Medical Systems Attn: Repairs 3535 Centre Circle Fort Mill, SC 29715 RMA NumberDate* Date Format: MM slash DD slash YYYY Facility Name*Department*Contact Name* First Last Contact Phone Number*Contact Email* Enter Email Confirm Email Address* Street Address Address Line 2 City State *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Purchase Order Number*Would you like to request a shipping label?*Would you like to request a shipping label? *YesNoREPAIR EQUIPMENT ITEMSRepair Equipment Items Equipment needing repair Manufacturer Model Serial Number Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. To begin adding an item, click "Add Entry".Get updates, alerts and special offers from US Medical Systems*Get updates, alerts and special offers from US Medical Systems *Yes, keep me ahead of the curve by informing me of the latest news and offers related to our medical equipment.No, I'm not interested in staying informed on the latest news and offers related to our medical equipment.CAPTCHA (877) 503-9773 Email Us RMA Form HOURS MON-FRI: 8:00am-5:00pm SAT & SUN: Closed