Return Material Request Authorization Form

The completion of this form is required for returning product to Skurka Aerospace, Inc. for any reason. After completion, transmit this request to Skurka Aerospace by pressing the "submit" button at the bottom of the form. A RMA number will be assigned and returned by our Quality Assurance Department. After the assignment of the RMA# please use this number for all communication. Order status of customer returns must be directed to the Sales Department at (805) 484-8884 or sales@skurka-aero.com.

Please clearly label the container and all associated paperwork with your assigned number. Failure to label the container may result in non-acceptance at our Receiving dock.

Requestor:
Company Name:
Address:
City:
State:
Country:
Zip:
SAI Part #:
Customer P/N:
Part Description:
Quantity:
Serial Number(s):
Details for the reason for return (check one category):
For optional categories additional charges may apply.
Rejection/Warranty Return:
Root Cause/Corrective Action Requested (optional)
Evaluation/Repair:
Failure Analysis Requested (optional)
 Replaced Parts List Requested (optional)
Overhaul:
Please provide specific details for this request to return product:

Contract Information:
Original P.O.#:
Buyer's Name:
Buyer's Phone:
Buyer's Fax:
Buyer's E-mail:
Technical Contact's Name:
Technical Contact's Phone:
Technical Contact's Fax:
Technical Contact's  E-mail:
Applicable Terms:

1) This RMA expires 30 days from the date of issue. 2) All products must be returned to Skurka Aerospace Inc. prior to the expiration date, transportation pre-paid. 3) The return shipment must include the product, a copy of the original Skurka Aerospace Inc. shipper and the RMA number clearly labeled on the carton to prevent refusal at our receiving dock. 4) Should non-conforming material be determined to not be Skurka Aerospace Inc.'s responsibility you will have fourteen (14) days to respond to our notification for disposition, or your material will be returned to you "as is" (evaluation / test charges may apply) 5) All responses will be on Skurka Aerospace Inc. forms and format, unless otherwise approved.

S.A.I. Form Q1120 Rev. C 8/08
Verification Code:




  
• • • Contacts • • •
Joel Reiss
President
Sean Hoskins
 Director of
Sales & Marketing
• • • Location • • •
Camarillo, California
60 miles North-West
of Los Angeles
• • • Information • • •
Type: Corporation, Incorporated in the State of Delaware
NIAC: 335312
DUNS#: 00-823-8768
 FAA Repair Station #S7GR035N
#MB1D316K
 

4600 Calle Bolero, P.O. Box 2869, Camarillo, California 93011-2869
Telephone: 805-484-8884 • Fax: 805-482-7771 • E-Mail: sales@skurka-aero.com
Website: www.skurka-aero.com
  
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