B&GA Distribution Warranty / RMA Request

CUSTOMER INFORMATION

Date of Request*

Company Name*

Person Requesting Return*

First Name Last Name

Phone*

Email*

ORDER INFORMATION

Please provide either of the of following:*

Packing Slip #
Sales Invoice #

Packing Slip #*

Sales Invoice #*

Purchase Order #*

Date Part was Ordered*

Reason for Return*

Select the correct option below.

Warranty Request
Part No Longer Needed
Wrong Part Ordered

AIRCRAFT INFORMATION

Aircraft Serial Number, Model Number and Tail Number*

Flight Hours on Aircraft*

Cycles on Aircraft*

Quantity*

FAILED UNIT

Part Number*

If entering multiple part numbers, please separate the list with commas.

Serial Number*

Detailed Failure Description*

Would you like to attach any files to this submission (image files, etc.)?*

No
Yes

File(s)

Drop files here or

Max. file size: 50 MB.

Flight Hours on Failed Unit*

Cycles on Failed Unit*

Date of Installation of Failed Unit*

Date of Removal of Failed Unit*

Part Number and Serial Number of Replacement Installed

If available

REPLACEMENT SHIPPING INFORMATION

Business Where Replacement Unit is to be Shipped*

Address Where Replacement Unit is to be Shipped*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Method of Shipment*

Freight Account Number*

WARRANTY REQUEST INFORMATION

Is this warranty recommended by a FIELD SERVICE REP or CUSTOMER RESPONSE CENTER?*

Yes
No

Case Number and FSR/CRC Name*

I acknowledge that this request may incur an evaluation fee if no fault is found with the part being returned to VSE Aviation.*

I agree

PART INFORMATION

Part Number*

If entering multiple part numbers, please separate the list with commas.

Serial Number*

Quantity*

Was Part Installed, Fitted or Used for Troubleshooting*

Yes
No

For What Specific Reason Was the Part Ordered and is No Longer Required?*

Was the Tamper-Proof Seal Voided or Part Removed from ESD Bag?*

Yes
No

Aircraft Model and Serial Number*

Aircraft Flight Hours / Cycles*

I acknowledge that a restocking fee may apply to this return request.*

I agree

WRONG PART INFORMATION

Part Number*

If entering multiple part numbers, please separate the list with commas.

Serial Number*

Quantity*

Was the Tamper-Proof Seal Voided or Part Removed from ESD Bag?*

Yes
No

Was Part Installed, Fitted or Used for Troubleshooting*

Yes
No

Why Was This Part Ordered?*

What is the Correct Part Number Needed?*

Was the Correct Part Purchased from VSE Aviation?*

Yes
No

PO # or VSE Sales Order #*

Aircraft Model and Serial Number*

Aircraft Flight Hours / Cycles*

I acknowledge that a restocking fee may apply to this return request.*

I agree

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Email

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B&GA Distribution Warranty / RMA Request