Contractor Repair Authorization Form

Attention!!

* Verizon Employees use this form.

** If you have any questions regarding this form please contact us at 1-888-270-3582 (repair).

Please submit this form to receive your RA number prior to sending any units in for repair. Any unit received without having done this will be refused and returned to sender.

Note:

Please do NOT send any equipment other than what needs to be repaired.

If you are sending a handheld terminal in for software update only (not repair), please do not send in anything but the terminal (with the battery please).

Sending extra equipment will only increase shipping and handling charges.

If you are having problems determining what the problem piece is, call 1-888-270-3582 for help.

Thank you.

Please call with your credit card information once you have sent your unit to us.

*Required information - we need this to complete the repair process.

Bill to Information (this is the mailing address of your credit card statement)

Company Name*

Contact Name*
Address 1*
Address 2
City*
State*
Zip*
E-mail*
Tel*

Ship to (address we will be returning the repaired unit to):

Company Name*

Contact Name*
Address 1*
Address 2
City*
State*
Zip*

Repair Information

Part Number*
Serial Number*

Problem*

We will send an email confirming receipt of this information, bearing an RA number. Include a printout of the email in the box with the unit.

Ship to:

Hayton Systems
Attn: Repair
17020 Twin Lakes Ave C105, #114
Marysville, WA 98271

Call 1-888-270-3582 if you have problems with this form or with any questions.