EMP : RMA Request

If you have found a problem with your product supplied by EMP and would like to return for replacement or credit, please fill out the form below. EMP will review your request and contact you to discuss next steps in the process. Please provide as much information as possible so EMP can determine how to handle the RMA request.

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Contact Information

Your Name*

Company Name*

Email Address*

Phone Number*

Mobile Phone Number

Fax Number

Street Address*

Address Line 2

City*

State / Province / Region*

Zip / Postal Code*

Country*

Previous EMP Contact

Case Number

Comments

Product Information

Vehicle Id*

Failed Part Number*

Failed Serial Number*

Part Replacement Information

Type of Failure*

Replacement Needed*

If Replacement Needed

Explanation of Failure and Comments* Note: If shipment of replacement part is requested before suspect part is processed for warranty coverage, a purchase order for the new part is required and an invoice will be generated. After analysis is performed, customer may be credited.

Supporting Documentation (Optional)

Attachment 1

Attachment 2

RMA Request

Contact Information

Product Information

Part Replacement Information

Supporting Documentation (Optional)

Request More Information