- Emerson Remote Terminal Unit Instruction Manual

Remote Automation Solutions (RAS)
Repair Authorization Form (on-line completion)
(
Providing this information will permit Bristol, also doing business as Remote Automation Solutions (RAS) to
effectively and efficiently process your return. Completion is required to receive optimal lead time. Lack of information
may result in increased lead times.)
Form GBU 13.01 Rev. D 12/04/07
Date RA # SH Line No.
Standard Repair Practice is as follows: Variations to
this is practice may be requested in the “Special
Requests” section.
• Evaluate / Test / Verify Discrepancy
• Repair / Replace / etc. in accordance with this form
• Return to Customer
Please be aware of the Non warranty standard
charge:
• There is a $100 minimum evaluation charge,
which is applied to the repair if applicable (√ in
“returned” B,C, or D of part III below)
Part I Please complete the following information for single unit or multiple unit returns
Address No. (office use only)
Bill to : Ship to:
Purchase Order: Contact Name:
Phone: Fax: E-Mail:
Part II Please complete Parts II & III for each unit returned
Model No./Part No. Description:
Range/Calibration: S/N:
Reason for return
: Failure Upgrade Verify Operation Other
1. Describe the conditions of the failure (Frequency/Intermittent, Physical Damage, Environmental Conditions,
Communication, CPU watchdog, etc.) (Attach a separate sheet if necessary)
2. Comm. interface used: Standalone RS-485 Ethernet Modem (PLM (2W or 4W) or SNW) Other:
3. What is the Firmware revision? What is the Software & version?
Part III If checking “replaced” for any question below, check an alternate option if replacement is not
available
A. If product is within the warranty time period but is excluded due
to the terms of warranty,, would you like the product:
repaired returned replaced scrapped?
B. If product were found to exceed the warranty period, would you like the product:
repaired returned replaced scrapped?
C. If product is deemed not repairable would you like your product:
returned replaced scrapped?
D. If RAS is unable to verify the discrepancy, would you like the product:
returned replaced *see
below?
* Continue investigating by contacting the customer to learn more about the problem experienced? The person
to contact that has the most knowledge of the problem is: phone
If we are unable to contact this person the backup person is:
phone
Special Requests:
Ship prepaid to: Remote Automation Solutions, Repair Dept., 1100 Buckingham Street, Watertown, CT 06795
Phone: [phone] Fax: [phone]
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