Remote / Receiver Monitor Repair Form

Remote / Receiver Monitor Repair Form
If this form is not included with your returned parts, your returned parts will be shipped back to you.
Please Select Remote Type:
Please Select Machine Type:
Machine Model #
Machine Serial #
In-Service Date / Warranty Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Customer Business Name
Customer Contact Name

First NameLast Name
Customer Contact Phone Number

Area CodePhone Number
Customer Contact Email
example@example.com
Dealer Business Name
Dealer Contact Name

First NameLast Name
Dealer Contact Phone Number

Area CodePhone Number
Dealer Contact Email
example@example.com
Ship Your Parts to LOR Ship to Address:
LOR Manufacturing
Attn: Repairs Department 
7131 West Drew Road
Weidman, MI, 48893
866-644-8622
Ship Your Parts to Magnatek Ship to Address:
Please contact:
SunSource
Nate Danals
Cell: (330) 441-8503
ndanals@sunsrce.com
Shipping address will be provided with return paperwork

Ship Your Parts to Cavotec Ship to Address:
You will be contacted with shipping information, if you have questions in the meantime please contact Customer Service Team at 800-255-8839 option 2
Warranty parts will be returned to the return address using UPS ground. (Note: if you need quicker shipping additional charges will apply please select alternative option)

Other
Primary Return Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Alternative Return Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Form Number
Form Submitted Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Technical Service Support Case File #
Dealer / Customer PO #
Please send both remote & receiver in for diagnostics.
LOR Remote Part #
LOR Remote Serial #
LOR Receiver Part #
LOR Receiver Serial #
LOR Tether Serial #
LOR Tether Part #
LOR Complaint Description:

0/0
LOR Pic 1
LOR Pic 2
Rayco Sales Order #
Rayco Part #
Magnatek Serial 1 #
Magnatek Serial 2 #
Magnatek Complaint Description:

0/0
Magnatek Pic 1
Magnatek Pic 2
Magnatek Inspection Team Please Fill Out Below Root Cause-Correction:
If loner remote is sent fill out below:
Magnatek Loaner Sending Serial #
Magnatek Loaner Replacing Serial#
Date Received Customer Remote:
Date Customer Remote Rerturned:
Items Included:

Other
Rayco RGA #
Shipped to Magnatek:
Closed By:
Cavotec Transmitter Serial #
Cavotec Transmitter Part #
Cavotec Receiver Serial #
Cavotec Receiver Part #
Cavotec Complaint Description:

0/0
Cavotec Pic 1
Cavotec Pic 2
If this form is not included with your returned parts, your returned parts will be shipped back to you.

Click Submit, you will receive a emailed copy of this form. Please print the emailed copy of the form and include with parts shipment.

If you have any questions please contact Customer Service 800-255-8839 Option 2
Should be Empty: