Equipment Service Request

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MSA Fire Equipment Service Form

Please complete the MSA Fire Equipment Service Form below to provide the technicians with information needed to execute your service request. All equipment must be listed on the form or have an individual form for each product.

Ten-8 and MSA will no longer service any EVOLUTION 5000 Series (5000, 5200/HD, 5600, 5800) cameras or chargers as of 12/31/2020.
Contact Information
Company/Department Name*
Contact Name*
Title*
Date*
MM slash DD slash YYYY
Phone*
Email*
Return Shipment Information
Attn:*
Company/Department*
Street*
City*
State*
Zip*
Product Information
Serial number*
Type & Model*
TypeModel
Repair Type*
Please provide a detailed description of the deficiency or repair needed.
Does an additional product need to be serviced?*
Product Information #2
Serial number*
Type & Model*
TypeModel
Repair Type*
Please provide a detailed description of the deficiency or repair needed.
Does an additional product need to be serviced?*
Product Information #3
Serial number*
Type & Model*
TypeModel
Repair Type*
Please provide a detailed description of the deficiency or repair needed.
Does an additional product need to be serviced?*
Product Information #4
Serial number*
Type & Model*
TypeModel
Repair Type*
Please provide a detailed description of the deficiency or repair needed.
Service Instructions
1. All equipment must be cleaned, sanitized, and decontaminated prior to being sent in for service. If equipment is soiled, a cleaning charge will be assessed. This is to prevent our technicians from being exposed to harmful substances and to allow for a more efficient repair.
2. Remove all batteries before shipping equipment to comply with mailing regulations.
3. Package the equipment adequately to prevent damage during shipping. Ten-8 Fire and Safety is not responsible for any damage that is incurred while the equipment is in transit. Sender should also keep record of shipment tracking information.
4. Complete this required form and print a copy to mail with the equipment. Print a second copy for your records.
5. Ship equipment to:
  Ten-8 Fire and Safety,
  Attn: MSA Fire Equipment Service
  2950 59th Avenue Drive E.
  Bradenton, FL 34203
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MSA Fire Equipment Service Form

Contact Information

Return Shipment Information

Product Information

Product Information #2

Product Information #3

Product Information #4

Service Instructions