ERS Biomedical
Equipment Repair & Service
Odessa, FL  |  (727) 807-7928
[email protected]  |  www.ersbiomedical.com
Return Product Authorization
RPA / RMA Form
RMA #
Issue Date
RMA Expires
Status
Pending Receipt
Priority
Initiated By
                  
Customer / Originating Facility
Facility Name Contact Name
Address Phone
City / State / ZIP Email
Original Invoice # Account #
Product Information — 1 Item Being Returned
# Product / Description Manufacturer Part Number Serial Number Qty Condition
1
Reason for Return
Problem Description / Notes
Authorized By (Customer)    Date: ___________
ERS Biomedical Representative    Date: ___________
ERS Biomedical
Equipment Repair & Service
Return Product Authorization
Shipping & Processing Instructions — Page 2
RMA #
⚠ Important: This RMA number must appear on the outside of all shipping packages and on all enclosed documentation. Packages received without a valid RMA number will be refused and returned at the sender's expense. RMA authorization is valid for 30 days from the issue date shown on Page 1.
Shipping Instructions
Ship To ERS Biomedical
11608 Perpetual Dr.
Odessa, FL 33556
Carrier
Tracking #
Ship Date
Freight Terms
Insurance
No. of Boxes
Requested Disposition
Credit / Replacement Info
Credit Memo #
Replacement PO
Est. Turnaround
ERS Receiving Inspection Checklist (Office Use Only)
Inspection Item Pass Fail Technician Notes
Package condition upon arrival  
Correct item(s) received vs. RMA manifest  
Serial number matches documentation  
All accessories / components included  
Visible physical damage noted  
Electrical safety check performed  
Functional test performed  
Terms & Conditions
⚠ NON-REFUNDABLE: Parts containing electronics or printed circuit boards (PCBs) are non-refundable under any circumstances once shipped. No exceptions.
  1. All returns require a valid ERS Biomedical RMA number issued prior to shipment. Unauthorized returns will be refused.
  2. Items must be properly packaged to prevent damage in transit. ERS Biomedical is not responsible for damage incurred during shipping.
  3. Credit or replacement is subject to inspection and verification by ERS Biomedical technical staff upon receipt. Electronic and PCB-based components are excluded from return or credit eligibility.
  4. Items showing evidence of unauthorized modification, misuse, or physical abuse may be rejected or subject to additional evaluation charges.
  5. RMA authorization expires 30 days from issuance. Expired RMAs must be reauthorized before shipment.
  6. Estimated turnaround times begin upon confirmed receipt of the returned item(s) in serviceable condition.
Received By (ERS Biomedical)    Date: ___________
Inspected By (Technician)    Date: ___________
Disposition Approved By    Date: ___________