RMA Request Step 1 of 3 33% General InformationNote: This form is used for returning product(s) to Aqua Illumination for service. For all general inquiries and support not involving a return service shipment, please visit our Contact Us page. Be sure to have the product in front of you when completing this form, as you will need model name, serial number and purchase date for warranty verification. Shipments from Customer to AI: Please note that the customer is responsible for the shipping costs to AI for the return of the defective products(s). For proof of your item being delivered and received by AI, it is suggested that the products(s) be shipped via a carrier. As an example, UPS, FedEx, or any other shipping method which yields a tracking number. Shipments from AI to Customer: For units that were serviced within the warranty period, AI is responsible for the cost of shipping back to the customer. For units that are outside the warranty period, shipping charges must be covered by the customer. The AquaIllumination RMA process is available to end users located in the United States of America. For all international warranty service claims, please contact your local country's distributor.Customer Type* Aquarist Retailer or Dealer Distributor or Wholesaler RMA Category Personal Use Customer's Product In-Store Display Aquaculture Facility Company Name Name* First Last Phone*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Product InformationHave you previously recieved customer support from AI?* Yes No Product*PrimeControllerSolVegaHydra 26Hydra 52OtherHiddenSerial Number (old field) If there is no serial number, please write "N/A"Serial Number* Please separate multiple serial numbers with a comma. If no serial number, please write "NA". Reason for Return* Upload Proof of PurchaseFor warranty service (products less than one year old), please upload a copy of your sales receipt with your return. If you cannot provide a receipt, please obtain one from your authorized AI retailer. If a copy of the original purchase receipt is not available, your warranty will be based upon your product's serial number. If any charge(s) will apply to your service request, we will contact you via phone for billing information. Return shipping will be included free-of-charge for warranty service. Note: For out-of-warranty service (products more than one year old), please provide billing information on form with return shipment for fastest service. AI will notify you prior to authorizing any repairs or servicing your roduct.Proof of PurchaseMax. file size: 50 MB.Web RMATo submit this form, you need to accept our privacy statement* Accept Privacy statementCommentsThis field is for validation purposes and should be left unchanged.
