USMS RMA Form

RMA Form 2
* Required
US Medical Systems
Attn: Repairs
3535 Centre Circle
Fort Mill, SC 29715
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Contact Information
Date *
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Facility Name *
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Department *
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Contact Name *
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Contact Phone Number *
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Contact Email *
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Confirm Contact Email *
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Street Address *
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City *
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State *
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Zip Code *
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Purchase Order Number *
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Please Check the Box to Request a Shipping Label *
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Equipment Needing Repair
Equipment Category *
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Quantity (Item 1) *
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Enter Manufacturer, Model, Serial Number, and Description of Issue (Item 1) *
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Quantity (Item 2)
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Enter Manufacturer, Model, Serial Number, and Description of Issue (Item 2)
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Quantity (Item 3)
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Enter Manufacturer, Model, Serial Number, and Description of Issue (Item 3)
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Quantity (Item 4)
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Enter Manufacturer, Model, Serial Number, and Description of Issue (Item 4)
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Quantity (Item 5)
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Enter Manufacturer, Model, Serial Number, and Description of Issue (Item 5)
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SAT & SUN: Closed