Product Returns

In order to receive credit for a Warranty claim you must have a F&W issued Return Authorization Number (RA#) which will be issued once the claim is submitted. No credit will be issued without one so take note of your RA# once one has been issued.

Return Authorization

Your Name(Required)

First Last

Company(Required)

Your Email Address(Required)

Email Address Confirm Email Address

Phone(Required)

Company / Branch Address

Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code

Customer Reference Number

This field can be used if vendor has a name or number they would like to reference for this RMA.

Purchase Order Number(Required)

Branch

Installer Name

Partner's Program Number

Detailed Description of Pump Failure(Required)

Pump Model Number(Required)

Pump Serial Number(Required)

Accessories and items such as control boxes may not have a serial number, for those items write N/A.

Pump Date Code(Required)

Installation Date(Required)

MM slash DD slash YYYY

Failure Date(Required)

MM slash DD slash YYYY

Photos of Pump(Required)

Please upload photo of the pump (include date code/model number/serial number label)

Drop files here or Select files

Max. file size: 50 MB.

Above is an example of the pump photo submission that is required to submit this form.

CAPTCHA

Comments

This field is for validation purposes and should be left unchanged.