RETURN AUTHORIZATION FORM

Step 1

Complete the following information to request the return of any item / product to KIP.

Company Name:

Customer Contact:

Division:

Email:

Phone:

Fax:

Company Address:

Suite Floor:

City:

State & Country:

Zip/Postal Code:

Machine Model:

Machine Serial:

Controller Serial:

Current Meter on Printer:

Unit of Meter:

Printer Install Date:

Step 2

Please read and complete the following.

Request for RA must be submitted to KIP within 14 days of the item’s invoice date. After 14 days a 15% restocking charge may apply or the RA may be denied. Please see the KIP Equipment Warranty for the warranty details and warranty period (90 days). The customer is responsible for all freight and shipping charges. This RA request must be accompanied by a valid invoice/packing slip number. Please only use one form per KIP invoice/packing slip.

KIP Invoice/Packing #:

Invoice/Packing Date:

Item #1 Number:

Quantity of #1:

Description of #1:

Item #2 Number:

Quantity of #2:

Description of #2:

Item #3 Number:

Quantity of #3:

Description of #3:

Item #4 Number:

Quantity of #4:

Description of #4:

Step 3

A detailed explanation of what is wrong with the component or machine for the return (please include all details).

Detailed Explanation:

Step 4

Complete the following information to request the return of any item / product to KIP.

Sample prints must be included with some returned items. This includes any equipment, optical assemblies, LED heads, developer parts, developer assemblies, drums, or PCBs. Returns can be denied without sample prints!

Sample prints included: yes no

Please prevent delays in processing due to an incomplete form.
You will be contacted if further details are required by KIP.
Completing the above form does not guarantee credit or that KIP wishes for the item’s return.
A valid Return Authorization Number (RA#) will be emailed to address provided, if the item(s) are to be returned with further instructions.
Large/heavy items that can be damaged in transit, such as optical or developer assemblies, must be secured to a pallet or other means to prevent any damage in the return shipment. KIP is not responsible for any transit damage.
Please do not ship any item to KIP unless accompanied by a valid RA#.
Any item(s) returned to KIP without a valid RA# will be returned to the sender COD.
If a replacement item is required, please follow the standard KIP order processes