RMA Request Form | Actelis Networks

* = Required fields.
Customer Information
Customer Name*
First Last
Requested By (Contact)
Location
Ship To Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone No*
Email Address*
Region*
Severity/Priority
- Critical
- Major
- Minor
- Feature Request
- Request Information
- Failed During Install*
- Failed In-Service
How Long In-Service?*
Provide A Detailed Description Of The Problem(s):*
What Are The Alarms Present In The System?:*
What are the environmental/working conditions of the unit (Env. Temperature, Indoor or Outdoor, Interface equipment, etc)? This will assist in Root Cause Analysis.*
Description
Model Name
Serial Number(s)*
Software Version
Hardware Revision
RMA no. (If Available)
In Case Of RMA Give Details Of:
Symptom
Failure Mode

For inquiries outside North and South America, please email Actelis Technical Support at: Intl_support@Actelis.com.

For all other inquiries, please email Actelis Technical Support at: techsupport@actelis.com or call in the USA (866) 228-3547 or (510) 545-1071

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Customer Information