Returns Made EasyRGA/RMA Request Form RGA/RMA Request FormFill out all of the sections in the form to submit the RMA. If you have parts from different units, you must fill out an RMA form each unit. On each RMA you can place multiple parts number as long as they are all from the same unit.Please enable JavaScript in your browser to complete this form.Date *Your Company Name *Company Address *Phone Number *Company Contact *Email Address *Laars Part Number (please list all part numbers, separated by commas, applicable for return) *Quantity *Description *Reason for Return (select one): *Field FailureSalable ReturnOrdered Wrong PartShipping ErrorOtherIf selected other, please explain (if you didn't select other, place N/A) *Description of Failure (please be specific) *From Model Number *From Serial Number *Date Installed *Date Failed (explain) *Original PO# *Replacement Part Purchased Under PO# *Submit