Return Authorization Form

Customer Information

End user / Customer Information Only. Dealer info will automatically populate based on location.

Full Name*

Phone*

Email Address*

Company*

End User / Customer Company information

Shipping Contact Person*

End User / Customer Contact for Shipping

Ship to Address*

Address where items will be shipped once repaired

City*

State / Providence*

If you selected Providence Not Listed, please input your state or providence.

Zip / Postal Code*

Country*

Hidden

Shipping Address*

Same as Billing Address
Different from Billing Address

Hidden

Ship to Address

Hidden

City*

Hidden

State / Providence*

Hidden

Zip / Postal Code*

Hidden

Country*

Hidden

Dealer

Authorization Details

Reason for RMA*

Repair
Exchange
Return

Associated Job Number*

Invoice Number*

Estimate Requirements*

Please select one.

P.O. Number

If you issue P.O. Numbers before repair, enter the number here.

Shipping Details

Return Shipping Method Requested*

FedEx Ground
3 Day Air
2 Day Air
Standard Overnight
Priority Overnight
First Overnight
Freight

Tracking Number

If you have a tracking number for your return shipment, please enter it here.

Equipment Details

Model Number*

Enter the Rausch Model # of the unit your are returning.

Serial Number

If you are returning a part, use the serial number from the unit in which the part is used. Need help finding your Serial Number? Download the Serial Number Workbook now from our Resources page.

Reason for Return / Description

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RA Number

EX Number

RT Number

Name

This field is for validation purposes and should be left unchanged.

Customer Information

Authorization Details

Shipping Details

Equipment Details

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