ANY CHARGES RESULTING FROM THE SERVICE PROCESS WILL BE ASSESSED TO THE RESPONSIBLE PARTY.


A CLAIM FOR MFG WARRANTY REPAIR REQUIRES A COPY OF THE PROOF OF PURCHASE (ORIGINAL INVOICE) BEFORE ANY WORK CAN BE DONE. IF A WARRANTY CLAIM IS REJECTED FROM THE MANUFACTURE,
PAYMENT FOR THE REPAIR WILL BE THE RESPONSIBILITY OF THE CUSTOMER. WHEN THE EVALUATION IS COMPLETED,
AN ESTIMATE FOR THE COST OF REPAIR WILL BE SENT TO YOU. IF WE DO NOT RECEIVE A RESPONSE FROM YOU WITHIN 30 DAYS FOR THE ESTIMATE,
THE ITEM WILL BE CONSIDERED ABANDONED AND DISPOSED of.

* Required

COMPANY NAME: *

CONTACT NAME:*

CONTACT TEL:*

CONTACT FAX:
CONTACT EMAIL:*

BILL-TO CONTACT NAME: *

BILL-TO ADDRESS:*
SHIP-TO ADDRESS:*
SHIP METHOD:*
UPS OR FED EX ACCOUNT NUMBER
FOR RETURN SHIPPING:
*


If the shipping account number is not provided then a shipping cost of $15.00 per unit will be invoiced to you. If the shipping is more than $15.00 then your invoice will reflect the actual cost of the return shipment.Handling fee of $25.00 for Medical Monitors and Handling fee of $15.00 for cameras’.

 

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, please specify:

PLEASE PROVIDE AS MUCH INFORMATION AS POSSIBLE REGARDING THE EQUIPMENT BEING SENT. EVERY REPAIR ITEM SENT TO VIDTEK REQUIRES A RA NUMBER.
PLEASE PROVIDE AS MUCH INFORMATION AS POSSIBLE REGARDING THE EQUIPMENT BEING SENT. EVERY REPAIR ITEM SENT TO VIDTEK REQUIRES A RA NUMBER. Please make note of
ALL accessories sent with the repair item. Vidtek will be responsible only for those items described in this form. Accessories include such items as documentation, special boxing/packaging, cable assemblies, power cords, remote controls, batteries, power supplies, consumables needed for testing, etc. Consumable items necessary to evaluate or complete a repair are the responsibility of the customer. Typically such items are print paper/film, specialty holder/adaptors and possibly tape cassettes, CDs and DVDs. If not certain, please ask before sending the equipment. 
 

MAKE
MODEL
S/N
R/A
DESCRIPTION OF PROBLEM + INCLUDED ACCESSORIES
1.
2.
3.
4.
5.
6.

NOTE: IF SENDING IN A NETWORK CAMERA, PLEASE INCLUDE THE IP ADDRESS
WARRANTY REPAIR
NON-WARRANTY REPAIR

* WARRANTY REPAIRS REQUIRE A COPY OF THE ORIGINAL INVOICE TO BE SENT WITH THE PRODUCT FOR REPAIR.

Those items not serviced at a flat rate, are serviced at time and materials. Labor is charged at $85 per hour with parts at MFR list. Unless prior agreement has been made, an evaluation fee plus return shipping charges will be assessed any service item for which an estimate has been declined. Listed below are standard evaluation fees for common equipment types. Evaluation fees are waived when an estimate is declined and Vidtek disposal is authorized.

EVI/FCB CAMERA
$85.00
XC/DXC/DFW CAMERA
$85.00
SNC/XCD CAMERA:
$85.00
SECURITY PTZ DOME:
$85.00
BRC SERIES CAMERA:
$130.00
MEDICAL PRINTER:
$130.00
MEDICAL CAMERA:
$130.00
MEDICAL MONITOR:
$130.00
BROADCASTING EQUIPMENT:
$130.00
QUESTIONS/COMMENTS/SPECIAL NEEDS


MOST ITEMS REQUIRE SPECIAL PACKAGING FOR SHIPMENT. VIDTEK MAY RECOMMEND MINIMAL PACKAGING REQUIREMENTS FOR CERTAIN ITEMS, BUT, IN ALL CASES, IT IS THE RESPONSIBILTY OF THE CUSTOMER TO ADEQUATELY PACKAGE ITEMS TO ENSURE SAFE ARRIVAL AT VIDTEK. VIDTEK RESERVES THE RIGHT TO ADD A COST-COVERING CHARGE FOR THOSE ITEMS WHICH MAY NEED SPECIAL PACKAGING TO ENSURE SAFE RETURN TO THE CUSTOMER.
RETURN AUTHORIZATIONS THAT ARE ISSUED BUT NOT RECEIVED IN OUR SERVICE AND REPAIR CENTER WITHIN 30 DAYS OF ISSUANCE WILL BE CLOSED AND A NEW RA MUST BE REQUESTED BEFORE SENDING THE ITEM TO VIDTEK FOR REPAIR.

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