AGV/SmartCart Return Material Request
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> AGV/SmartCart Return Material Request
Fields in blue are required.
Customer Company:
Claimant Company:
Customer Phone:
Claimant Phone:
Customer Name:
Claimant Name:
Customer Email:
Claimant Email:
Equipment ID:
Customer
same as
Material Description:
Failure Date:
Webb Part Number:
Supplier Name:
Supplier Part Number:
Manufacturer:
Manufacturer Part #:
Manufacturer Serial #:
Mfg Date or Code #:
Original JBW Project #:
Original PO #:
Repair/Work Order #
Failure Description:
Expected Actions:
Repair & Return
Replace
Failure Analysis
Other
Expected Actions Other:
Material Status:
Under Warranty
Out of Warranty
Unknown
Return Materials To:
Claimant
End User
Other
Return Materials To Other:
Description/Comments
