Confirmation Of Condition Of Unit - Heidolph Safe Originalbetriebsanleitung

Service

Confirmation of condition of unit


➜ In the case of repair, copy and complete the Confirmation of condition of unit and
send it to Heidolph Instruments.
1.
Details about the unit
Product number
Serial number
Reason for repair
2.
Has the device been cleaned, decontaminated/sterilized?
3.
Is the unit in a condition which does not represent any health threats for the staff of
our service department?
4.
Legally binding declaration
Date
Company stamp
Please note
Sender information
Yes
Yes
The customer is aware of being legally liable to Heidolph
Instruments for any damages arising from incomplete and
incorrect information.
Signature
The shipper is responsible for the return of the goods in well
packed condition, suitable for the mode of transport.
Name, first name
Company
Department, research
group
Street
Zip code, city
Country
Phone
E-mail
35
No
No
If not, which substances has the unit
come into contact with?