RMA Request Form

RMA Request Form

*Please note that all RMA requests require analysis and approval and will be reviewed on a case by case basis. Please be sure to provide detailed information supporting your need. Our team will respond within 7 days.

Enter Your Company Name*

Customer Contact Name*

Customer Contact Email*

Please specify the priority of your request here*

Select or enter value

Please specify your original Sales Order or PO# here*

This information is required for our team to find your original order

Part Number and Quantity of Damaged Part(s)*

This information is required for our team be efficient in understanding your request

Please provide a reason for your RMA Need*

Select or enter value

Did a JUKI Field Service Engineer or Team Member give you the part number(s) specific to this request? If so, please tell us who:

This information is in no way meant to implicate fault, but it will help us in our analysis and to enhance our customer service

Please enter descriptive notes here regarding this RMA Request*

Please help us understand the reason for your RMA need. Be as descriptive as possible to help facilitate expediency in analysis.

Please attach Photos or Supporting Documents

Any emails or documents or photos to support your request will help in our review

Drag and drop files here or

Send me a copy of my responses

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