Request for repair

In case of product failure, OMRON is there to support you. We provide a fast and reliable repair system. If you complete the form below we will send you a quotation exclusively for your product. Please complete all mandatory fields marked with *. Your personal details will, of course, be handled confidentially.

Product type/ name

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Repair lead time information

Note: Transportation time is not included in lead time information.

Lot/ serial number

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Purchase date

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Failure description

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Return to customer if not repairable?

• Yes
• No

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Name

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Surname

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Company

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Street

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Postal Code

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City

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E-mail

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Telephone

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Remarks

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