Confirmation Of Condition - Heidolph Hei-TORQUE Core Bedienungsanleitung

Service

Confirmation of condition


➜ In the case of repair, copy and complete the Confirmation of condition orm and send
it to Heidolph Instruments.
1.
Details about the device
Product number
Serial number
Reason for repair
2.
Has the device been cleaned, decontaminated/sterilized?
3.
Is the device 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
33
No
No
If not, which substances has the device
come into contact with?