Warranty Claim

VL-C RMA SUBMISSION

Please fill out the form below. You will receive an email notification that your claim has been processed. All Returns, Exchanges, and or Repairs brought to the factory must have a printed RMA form present.
Note: All fields with an asterisk(*) are required, all other fields are optional.

Date*
MM slash DD slash YYYY
First Name*
Last Name
Company*
Email*
Phone*
Ship to Company Name*
Ship to Address*
Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reason for Claim? (Use Drop Down Below)*
Original PO Number*
Part Number #1*
No. of Fixtures #1*
Manufacturer of Fixture #1*
Part Number #2
No. of Fixtures #2
Manufacturer of Fixture #2
Part Number #3
No. of Fixtures #3
Manufacturer of Fixture #3
Where are these installed?*
- Offices
- Warehouse
- Production
- Exterior
- Other
List Install Location:
Voltage Fixtures Running On?
Reason for RMA Claim*
Photos
Drop files here or

Accepted file types: jpg, png, Max. file size: 64 MB.
Please upload any images you may have of damaged or not working fixtures to help with warranty claims.
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