Returns Made EasyRGA/RMA Request Form RGA/RMA Request FormFill out all of the sections in the form to submit the RMA to LaarsPlease enable JavaScript in your browser to complete this form.Date *Your Company Name *Company Address *Phone Number *Company Contact *Email Address *Laars Part Number *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
