BioM-RMA-form-2742

BioMonitoring Instrument Returns


Please complete this form below to submit a BioMonitoring device for repair, maintenance, and/or calibration at EMD Millipore Corporation.  After submitting, you will see a message showing your request was successfully sent.  We will process your request and send you an email with further instructions.

Please note this form is for customers located in the Americas and the Caribbean only.  For other inquiries, please contact Customer Service.


Thank you for requesting an RMA.


In order to efficiently obtain a return number for your service, please make sure you have the following information handy when you complete this online form:

  • Model of the instrument with the serial number
  • PO number or credit card information
  • Agreement with our payment terms of net 30
  • Return Shipment preference $45 charge to e added to purchase order or credit card charge or Shipping vendor and account information
  • Bill to and ship to address
  • The hazardous statement or Decontamination form
This form must be filled out completely in English and electronically signed by the end user of the product in order for the process to ensue.

* = Required Fields

In this section, please indicate the details about the product you are returning and the usage status of the returned product. Use manufacturer’s catalog, lot and serial numbers. Follow these criteria to select the best option for your case:

Product will be returned in original, intact, packaging (outer shipping carton may have been opened).

The issue was detected after product packaging was opened, but before it was used.

The item was used for its intended purpose, which may have resulted in it coming in contact with customer product, process fluids, or any material as defined below.

Please download, complete, and attach a signed Certificate of Decontamination to this form.
For for the M air T Calibration Tool Kit, the Certificate of Decontamination and Supplemental Hazardous forms must be completed with this form.
Please download, complete, and attach a signed  Supplemental Chemical Hazard Checklist to this form.
Product was used exclusively for air monitoring with no reasonable expectation of exposure to hazardous materials (those which are capable of causing and are reasonably expected to cause harm to humans or the environment).

Please indicate with what the unit was wiped before return.
Please note if product is returned without cleaning we will charge a cleaning fee or return the unit without service.

Product returned is BioMonitoring equipment used in a sterile environment with no reasonable expectation of exposure to hazardous materials (those which are capable of causing and are reasonably expected to cause harm to humans or the environment).

Please indicate with what the unit was cleaned before return.
Please note if product is returned without cleaning we will charge a cleaning fee or return the unit without service.


The PO amount needs to cover the cost of calibration and any repairs as well as the $45.00 shipping fee unless you provide us with a Freight Vendor and the account number.

We will process your request and send you an email with further instructions.
A $45 Return shipment fee will be added to the cost of the service unless you provide us with a Freight Vendor and account number for us to return the instrument.
* Required Fields
 
Hidden Fields

* Required Fields
 
Please type your name to sign this document.
Please enter the date to sign this document.
By entering your name above, you are signing this Agreement electronically. You certify the information provided is correct and complete. You agree that your electronic signature is the legal equivalent of your manual signature on this Agreement. You consent to be legally bound by this Agreement's terms and conditions. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide EMD Millipore instructions or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and EMD Millipore.
  • All goods returned must be packaged either in their original packaging (preferred, especially if pre-use damage is observed) or with sufficient packing material to restrict movement within the shipping package and avoid breakages during shipment.
  • All shipments of returned goods must comply with all applicable transportation regulations such as, but not limited to, IATA (Air Transport Association) and DOT (United States Department of Transportation).
  • Whenever feasible, the product(s) shall be dry at the time of shipping to avoid degradation or microbial growth in transit. No free liquids are allowed in returned goods packaging. If the product(s) contain(s) is(are) wet (e.g. with decontamination solution), it(they) must be triple-bagged, with each bag independently hermetically sealed, preferably using a thermal seal.
  • Products that have come into contact with hazardous materials and are dry must be double-bagged, with each bag independently hermetically sealed, preferably using a thermal seal.
Session Info

Need assistance with this form?