Fluke Biomedical Service Request

Welcome. Here is what to expect from this RMA process:

Fill out this form.
Make sure to include as much information as you can.

We'll send you a quote.
Usually within 24 hours.

Review the quote.
Also make sure to confirm payment.

Send the unit to us.
We'll give you the address with the quote.

We will service your unit.
It might take us a day to get it in our system.

We'll return your unit quickly.
Usually 5-10 days.

Unit Information

Unit Information
Unit Information Select a product category Select Product Select Defibrillator Analyzer Select Electrical Safety Analyzer Select Digital Pressure Meter Select Electrosurgery Analyzer Select Gas Flow Analyzer Select Incubator Radiant Warmer Analyzer Select Infusion Pump Analyzer Select Patient Monitor Simulator Select Phototherapy Radiometer Select Transducer Leakage Tester Select Radiation Safety Device Select non-Fluke Radiation meter Select non-Fluke Radiation probe Select Primalert Select Keithley Products Select NIBP Analyzer Select TNT Kit Select RaySafe Product Serial Number Service Required Warranty Status Calibration Type Calibration Interval Calibration Interval Enter other… Repair Reason Please describe what you are experiencing. Was there a device malfunction? Device malfunctions might include any of the following: not turning on, not working, not zeroing, no reading, broken, freezing, leak, failed, fault, missing IFU or other labeling info, damaged package, software issues., etc. Yes No Please provide any additional information that might help us in investigating any malfunctions: Could or did this device malfunction cause serious injury or death? Yes No

Select a product category

Select Product

Select Defibrillator Analyzer

Select Electrical Safety Analyzer

Select Digital Pressure Meter

Select Electrosurgery Analyzer

Select Gas Flow Analyzer

Select Incubator Radiant Warmer Analyzer

Select Infusion Pump Analyzer

Select Patient Monitor Simulator

Select Phototherapy Radiometer

Select Transducer Leakage Tester

Select Radiation Safety Device

Select non-Fluke Radiation meter

Select non-Fluke Radiation probe

Select Primalert

Select Keithley Products

Select NIBP Analyzer

Select TNT Kit

Select RaySafe Product

Serial Number

Service Required

Warranty Status

Calibration Type

Calibration Interval

Repair Reason

Please describe what you are experiencing.

Was there a device malfunction?

Device malfunctions might include any of the following: not turning on, not working, not zeroing, no reading, broken, freezing, leak, failed, fault, missing IFU or other labeling info, damaged package, software issues., etc.

Yes

Please provide any additional information that might help us in investigating any malfunctions:

Could or did this device malfunction cause serious injury or death?

Yes

Shipping and Billing Contact Information

Billing Information

Shipping information is same as billing

Country

First name

Last name

Organization

Street address

City

State

Zip code

Billing email

Billing phone

Shipping Information

Country

First name

Last name

Organization

Street address

City

State

Zip code

Shipping email

Shipping phone

Shipping email same as billing

Certificate place

Location to use for certificate place

Company Name	City	State/Country
Company Name	City	State/Country

, US

Payment

Tax exempt

Tax exempt certification

Choose file

One file only.
10 MB limit.
Allowed types: pdf, jpg.

Payment Method

Care Plan ID

The care plan ID should start with an F and will be 7 or 14 characters.

PO Number

Attach Purchase Order

Choose file

One file only.
10 MB limit.
Allowed types: pdf, jpg.

Credit Card Contact Information

We will contact you separately to get your card information.

Cardholder Name	Cardholder Email	Cardholder Telephone Number
Cardholder Name	Cardholder Email	Cardholder Telephone Number

We will verify that this is an in-warranty repair and contact you for payment if necessary.

We will send you a quote as soon as this is processed. We will provide instructions on where to send the purchase order.

Return Shipping

Warranty work

Warranty work includes second-day air prepaid shipping for repairs. If you want to use a different shipping method, please check the box below.

Care Plan Standard Shipping

All Fluke Biomedical care plans includes second-day air prepaid shipping for repairs and calibration. If you want to use a different shipping method, please check the box below.

Partial Shipping

By default, units are shipped as they are completed. If you require units to be shipped in a single shipment or with a single invoice, check this box.

Do not partial ship

Standard Shipping

Standard shipping is prepaid UPS ground shipping. If you want to use a different shipping method, please check the box below.

Alternate shipping options

Use different shipping method

Use a freight forwarder

Alternate shipping details

International Shipments

If the unit is a 451P version or contains a check source, it is identified as a Dangerous Goods shipment. We require these items to ship via a freight forwarder. Please provide the freight forwarder you would like used otherwise Fluke will use NNR and you will be quoted for freight. This is not prepaid.

Shipping Details

Carrier	Account Number	Return urgency
Carrier	Account Number	Return urgency Return urgency Enter other…

Freight forwarder contact information

Country

First name

Last name

Organization

Street address

City

State

Zip code

Additional freight forwarder contact info

Email	Telephone
Email	Telephone

Additional Comments

Special Requirements

Please let us know if there are other things we should know about this unit or if you have additional requirements.

Terms and Conditions

Terms and conditions

I understand that when a unit is received, if repairs are found to be needed, an additional quote will be sent. If declined, an evaluation fee of $183.00 will be applied for labor incurred.

I have read and agree to the Fluke Biomedical terms and conditions.

Welcome. Here is what to expect from this RMA process:

Place selection

Place confirmation

tax_left

tax_right

payment_left

payment_right

Warranty work

Care Plan Standard Shipping

Partial Shipping

Standard Shipping

Shipping Options section

Alternate shipping options

Alternate shipping details

International Shipments