If you need to send a Harris RF Communications product in for service, please complete the following Return Material Authorization (RMA) Request form. Items marked in RED are required fields. Once submitted, the Harris RF Communications Product Service Department will provide you with an RMA number by return e-mail. The RMA number should be included with your shipment. Please do not ship equipment or parts prior to receiving an authorization number.

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Date:
Contact Name:
Phone:
Fax:
E-mail:
Organization:
COMSEC # (if applicable):
Return To Address
Street Address 1:
Street Address 2:
City:
State:
Zip/Postal Code:
Country:
Invoice Address (if different from Returned To Address above)
Street Address 1:
Street Address 2:
City:
State:
Zip/Postal Code:
Country:
ITEM 1
Item 1 Model Number:
Item 1 Part Number:
Item 1 Description:
Item 1 Serial Number:
Item 1 Problem Description:
ITEM 2 (used for additional items)
Item 2 Model Number:
Item 2 Part Number:
Item 2 Description:
Item 2 Serial Number:
Item 2 Problem Description:
ITEM 3 (used for additional items)
Item 3 Model Number:
Item 3 Part Number:
Item 3 Description:
Item 3 Serial Number:
Item 3 Problem Description: