Elevate RMA Request -

MON - FRI 8AM - 5PM

(02) 123 456 000

RMA Request Form

Section A - Customer Contact Information

Date

Customer Failure Analysis Request number

Customer Name

Customer Application

Subcontractor Used

Subcontractor Location

First Name

Last Name

Phone

Section B - Device Information

Part Number

Lot Number

Date Code

Qty Tested

Qty Per Board

Qty Failed

Estimated DPPM

English