Atmel - Quality RMA Request Form

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Quality / RMA Request Form

RMA Request Form

This query form allows a user to submit a Returned Material (RMA) request. Please note that this does not imply that the RMA request will be approved; rather, it is solely intended to expedite the approval process so that an RMA number can be expeditiously sent back to the customer upon approval.

Please note that the items denoted by an asterisk are mandatory fields and must be filled out prior to clicking on the submit button.

Please read the attached policy to learn more about the returns process.

Date
Area*
Customer Service* Contact & Ext.
Atmel Part Number*
SL Number
DESC Part Number

Customer Part Number
Customer*
Customer Contact
Customer Street Address
Customer City
Customer State
Customer Zip Code
Customer Country
Customer Account Number
Customer P.O. Number*
Customer Phone Number

Invoice Number*
Invoice Date*
Sales Order Number*
Line Item Number*
Distributor/ Sales Representative
Distributor/ Sales Representative Contact
Distributor/ Sales Representative Street Address
Distributor/ Sales Representative City
Distributor/ Sales Representative State
Distributor/ Sales Representative Zip Code
Distributor/ Sales Representative Country
Distributor/ Sales Representative P.O. Number
Distributor/ Sales Representative Phone Number
End Customer
Send Parts Back to*
FA Number
Price*
Quantity*
Returned for*
Reason for Return* (Include as much detail as possible)
E-Mail Address*