I have answered the above questions to the best of my knowledge.
Name: Company:
Date: Signature:
Return Form
Declaration of potential hazards in the enclosed products from exposure to hazardous substances* or mixtures
* Classication preferably according to CLP regulation
We can only accept and carry out the service order f this declaration is lled out completely.
Please include it with the shipping documents.
If you have any questions, please contact our repairs department in Berlin.
RMA number (can be obtained by calling +49 30 80 191-2):
Customer information (must be completed if no RMA number is available):
Company:
Address:
Contact:
Tel./Email:
Information on the product:
Product name:
Serial number:
Included accessories:
The product has not been exposed to hazardous substances or mixtures.
The product has been exposed to hazardous substances or mixtures.
State the classication of the hazardous substance, as applicable together with the hazard statements
(or R-phrases), or at minimum provide the relevant hazard pictograms:
The product has been exposed to infectious substances.
The product was subjected to suitable cleaning procedures to prevent exposure to hazards prior to return.
The product was not freed of hazardous substances prior to return.
Knick
Elektronische Messgeräte
GmbH & Co. KG
Beuckestraße 22, 14163 Berlin,
Germany
Phone: +49 30 80191-0
Fax: +49 30 80191-200
info@knick.de • www.knick.de
087148
The product being returned is new/unused.
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7KHODWHVWGRFXPHQWVDUHDYDLODEOHIRUGRZQORDGRQRXUZHEVLWH
Declaration of Contamination
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