RMA/Repair Report Form

Please fill out all fields in the form.

Customer Details *First Name: *Last Name: SOKKIA Subsidiary: *Address: *City: *State/Province: *Zip/Postal Code: *Country: *Phone: *E-mail:

Product Category Please select the product you will fill out a repair report for: Receiver
Antenna
Radio
GSM
Board
Accessories
Data Collectors

Receiver Details Receiver Model : Is the warranty still in effect? Yes
No Did you replace an integrated serial number part? Yes
No If yes, what is the new serial number? Do you need to change the enclosure labels? Yes
No Receiver Serial Number: Hardware Level (H/W Rev): GPS Card Serial Number: GPS Card Firmware Version: PDC Board Serial Number: PDC Board Firmware Version:

Repair Log - Action 1 Part Number: Serial Number: Actions Taken: More Entries: Yes

Repair Log - Action 2 Part Number: Serial Number: Actions Taken: More Entries: Yes

Repair Log - Action 3 Part Number: Serial Number: Actions Taken: More Entries: Yes

Repair Log - Action 4 Part Number: Serial Number: Actions Taken: More Entries: Yes

Repair Log - Action 5 Part Number: Serial Number: Actions Taken: More Entries: Yes

Repair Log - Action 6 Part Number: Serial Number: Actions Taken: More Entries: Yes

Repair Log - Action 7 Part Number: Serial Number: Actions Taken: More Entries: Yes

Repair Log - Action 8 Part Number: Serial Number: Actions Taken: More Entries: Yes

Repair Log - Action 9 Part Number: Serial Number: Actions Taken: More Entries: Yes

Repair Log - Action 10 Part Number: Serial Number: Actions Taken:

Antenna Details Antenna Model: Antenna Serial Number: Please describe problems with the antenna:

Radio Information Radio Type: Radio 3AS-PT+ Repair or Upgrade

Radio Details Radio Model: Radio Serial Number: Receiver serial number that radio is located in: Please describe problems with the radio:

3AS-PT+ Details Service needed: 3AS-PT+ Upgrade Only
3AS-PT+ Repair Radio Serial Number: Channel Spacing Requested: 12.5kHz
25kHz Radio Frequency: Notes:

GSM Details GSM Model: Modem Serial Number: Receiver serial number that modem is located in: Please describe problems with the modem:

Board Details Board Model: Old Board Serial Number: Receiver serial number that board is located in: New board serial number: Please describe problems with the board:

Accessory Details Accessory Type: Receiver serial number associated with accessory: Please describe problems with the accessory:

Data Collector Details Data Collector Model: Data Collector Serial Number: Operating System: Please list applications installed: Please describe problems with the data collector:

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RMA/Repair Report Form

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