Information
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Document No.
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NHP Reference Number. N-----
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Conducted on
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This form is to be used to order services from RA customer care
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RA RMA Number
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Pictures of subject part.
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NHP SOR number, ( Sales Order Number )
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NHP PO to RA. PPO------
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PART Number.
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Series.
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Serial Number.
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Accessories removed?
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Customer Name.
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Contact Name.
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Customer PO. Purchase Order.
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Contract?
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Service Type.
- Remanufacture
- Advance exchange.
- Warranty Exchange.
- Inventory Assurance.
- PMA Re-Certification
- Root Cause Failure Analysis
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Fault Description. "Mandatory field"
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Ship Back to NHP?