RMA REQUEST FORM

Freight collect shipments and unauthorized returns will be refused!

USA (Data) Tel:

800-995-2696
Fax: 818-878-5366
USA (PCX) Tel: 877-729-7299 option 2

Advance Replacement (AVR) Freight prepaid

Next day delivery not required
Dead-on-Arrival (DOA) Freight prepaid

USA (PCX) Fax: 818-871-5953

Asia (PCX) Tel: +65-6240 8484 & Fax: +65-6240 8954

Lifetime Warranty (LLW) - 5day Shipment AVR Freight prepaid

Return for Repair (CSR/RTF) Freight paid on the "return to customer" sh

e-mail: Esd.Support@alcatel-lucent.com

Service Request/Case #

RMA #

PO #

SO #

CUSTOMER INFORMATION:

SHIP-TO:

Contract Number:

Requestor Name:

Requestor Name:

Company Name:

Company Name:

Billing Address:

Shipping Address:

END USER:

FREIGHT FORWARDER:

* Required if shipping

* Required if customer

outside of USA

has special needs

Telephone:
Fax:
Email Address:

Telephone:
Fax:
Email Address:
Above information must be complete for RMA approval

Above information must be complete for RMA approval

All returns to Alcatel-Lucent, Enterprise Solution Division must be properly packaged with materials provided. RMA# must be clearly marked on the outside of the box.
Equipment returned with insufficient packaging will be invoiced at full value in the event of damage. ENCLOSE THIS FORM WITH YOUR RETURN FOR REPAIR EQUIPMENT.

Product
Description

Part # (e.g. 90xxxx-xx,

3BAxxxxxxx)

Serial #

Qty

Problem Reported - Reason for Return (Check appropriate box AND briefly describe)

1. Bad Ports / No connectivity

2. Fails to initialize

3. Error Messages

4. Module Resets

5. PS/Fan/Heat Failure

6. Physical Damage

7. Requires ECO Upgrade

8. Mis Shipment

Above information must be complete for RMA approval

Software Version:

10
1. Customer agrees that the equipment set forth above is ordered for repair and/or replacement purposes.
2. Customer understands that they will be invoiced for the above equipment at published list price if defective equipment is

not returned to Alcatel-Lucent, ESD within thirty (30) days after receipt of replacement equipment.
3. Customer will take full responsibility for proper packaging of equipment to be returned to Alcatel-Lucent, ESD
4. All extra components, power supplies, uplink modules, expansion cards, memory cards, hard drives, or phone accessories, must be removed from the
part submitted for repair. Any extra items sent back which are not part of the original repair RMA, listed by part number, will result in the non-return of
these items or returned at customers expense.
5. Please print the RMA number clearly on the outside of the box while shipping the equipment.

For International shipments, the commercial invoice should state:

Equipment is being returned for warranty repair at no charge.

North America Product Return Center:

Alcatel-Lucent EPG
C/O Teleplan International
8860 Industrial Avenue
Suite 100, Dock Door 207
Roseville, CA, 95678
(916) 677-4500 / 1-800-995-2696