Return Material Authorization (RMA) Form

<!DOCTYPE html><html lang="en" data-browser="ie 7.0" data-platform="windows" data-device="desktop"><head><script> window.dataLayer = window.dataLayer || []; function gtag(){window.dataLayer.push(arguments);} gtag('set', 'url_passthrough', true); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); })(window,document,'script','dataLayer','GTM-57CHPC6'); </script><meta name="author" content="AddOn Networks"><meta name="language" content="en"><meta charset="utf-8"><meta name="pinterest" content="nopin"><meta name="viewport" content="width=device-width"><link rel="stylesheet" type="text/css" href="/assets/css/global.css?v=101"><link rel="shortcut icon" href="/assets/images/favicons/favicon.ico" type="image/x-icon" /><link rel="icon" href="/assets/images/favicons/favicon-16.png" sizes="16x16" type="image/png"><link rel="icon" href="/assets/images/favicons/favicon-32.png" sizes="32x32" type="image/png"><link rel="icon" href="/assets/images/favicons/favicon-48.png" sizes="48x48" type="image/png"><link rel="icon" href="/assets/images/favicons/favicon-64.png" sizes="64x64" type="image/png"><link rel="preconnect" href="https://www.googletagmanager.com"/><link rel="dns-prefetch" href="https://www.googletagmanager.com"/><link rel="preconnect" href="https://service.force.com"/><link rel="dns-prefetch" href="https://service.force.com"/><link rel="preconnect" href="https://d.la2-c1-ph2.salesforceliveagent.com"/><link rel="dns-prefetch" href="https://d.la2-c1-ph2.salesforceliveagent.com"/><link rel="preconnect" href="https://d.la2-c1-ia2.salesforceliveagent.com"/><link rel="dns-prefetch" href="https://d.la2-c1-ia2.salesforceliveagent.com"/><link rel="preconnect" href="https://c1.sfdcstatic.com"/><link rel="dns-prefetch" href="https://c1.sfdcstatic.com"/><link rel="preconnect" href="https://addons3.imgix.net"/><link rel="dns-prefetch" href="https://addons3.imgix.net"/><link rel="preconnect" href="https://cdnjs.cloudflare.com"/><link rel="dns-prefetch" href="https://cdnjs.cloudflare.com"/><link rel="preconnect" href="https://addon.imgix.net"/><link rel="dns-prefetch" href="https://addon.imgix.net"/><title>Return Material Authorization (RMA) Form | - AddOn Networks</title><meta name="generator" content="SEOmatic"> <meta name="description" content="Committed to delivering quality above all with each and every shipment. 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lo-left-half"><section><h1>RMA Form</h1><h2>Request a return or replacement under our return policy.</h2></section></div><aside class="search lo-right-half"><form class = "simple-search JS_simple-search" role = "search" method = "POST" action = "/search/all" data-productActionAll = "/search/all" data-productActionSystem = "/search/system" data-productActionPartNo = "/search/part-no" data-contentAction = "/search/content" ><h3>Search</h3><div class="simple-search--radio-buttons"><label class="checkbox--wrap"><input name="type" type="radio" checked value="product"><span class="checkbox--label">Products</span></label><label class="checkbox--wrap"><input name="type" type="radio" value="content"><span class="checkbox--label">Content</span></label></div><fieldset class="JS_product-fields" style="display:block"><label><select name="productSearchType" aria-label="search type"><option value="all" selected>All</option><option value="system" >System</option><option value="sku" >Part No.</option></select></label><div class="JS_product-fields--system" ><label><select name="manufacturerIds[]" aria-label="OEM"><option value="none">Select OEM</option></select></label></div></fieldset><label class="JS_product-fields--term"><input type="search" name="term" value="" placeholder="Search term..." aria-label="search term"><datalist id="systemFamily"></datalist></label><div class="simple-search--buttons"><button class="button--primary-alt button--large button">Search<svg class="icon arrow-right"><use xlink:href="#icon-arrow-right"/></svg></button></div></form></aside></header><div class="topnav lo-full-content"><a class="logo" aria-label="Return to home page" href="/"><svg xmlns="http://www.w3.org/2000/svg" class="logo" viewBox="0 0 383.2 86.5"><path style="stroke-width:0" class="plus" d="M20,35c-5.5,0.1-10.2,2.1-14.1,6S0,49.5,0,55c0,5.6,2,10.2,5.9,14.2C9.8,73.1,14.5,75,20,75 c5.6,0,10.2-2,14.1-5.8C38,65.3,40,60.6,40,55.1S38,44.9,34.1,41S25.6,35.1,20,35 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data-amount="0"><span>Quote</span></button></li></ul><div class="JS_cartpop" ><h3>Quote List</h3><p class="cart-empty"> Your cart is empty, why not try <a href="/search/all">searching for products</a>? </p><div class="cart-ctrls"></div></div></div><main class="maincontent lo-left-content"><div><h3 class="themed-h3">Committed to delivering quality above all with each and every shipment. </h3><p>In order to assist with our quality and fault finding process, AddOn requires that faulty product is returned within 60 calendar days of a customer's receipt of a Return Material Authorization (RMA).</p><p>In the specific case of Advance Replacement orders, AddOn reserves the right to invoice advance replaced product. This right will be exercised when faulty product is not returned to AddOn within 30 calendar days of receipt of a RMA.</p><p>Providing the following information will help our RMA team deal with your request more efficiently:</p><p>- System diagnostics (e.g. ‘show technical’, ‘show diagram’, ‘show module’ etc.).</p><p>- If steps have been taken to resolve the problem, for example if the product was tested in another host device, please provide a detailed description.</p><ul></ul><p></p></div><form method="post" class="rma special-freeform" lang="en" data-recaptcha="v3" data-recaptcha-key="6LfHHuwUAAAAAIBQSF0pT8ZxeDEyavdySdsYoVbn" data-recaptcha-action="homepage" data-freeform data-id="987d6a-form-d7nrGnKpO-RO2y5qyJG-CCB2zFRj78fjCJ2a12n0kaowADh9eCXfqhYfzXfK" data-handle="rmaRequest" enctype="multipart/form-data" data-auto-scroll data-success-message="Form has been submitted successfully!" data-error-message="Sorry, there was an error submitting the form. Please try again." data-has-rules data-honeypot data-honeypot-name="hpField_fbd75a" data-honeypot-value="c72af32d7" ><div class="hpField_fbd75a" style="position: absolute !important; width: 0 !important; height: 0 !important; overflow: hidden !important;" aria-hidden="true" tabindex="-1"><label aria-hidden="true" tabindex="-1" for="hpField_fbd75a">Leave this field blank</label><input type="text" value="588b36" name="hpField_fbd75a" id="hpField_fbd75a" aria-hidden="true" autocomplete="off" tabindex="-1" /></div><input type="hidden" name="freeform_payload" 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id="form-input-fullName" value="" name="fullName" onkeyup="this.setAttribute('value', this.value);" placeholder=" "><field-placeholder>Full Name</field-placeholder><field-status-bar></field-status-bar><field-asterisk data-notice="This field is required."></field-asterisk></label><field-note class=error></field-note></input-field><input-field data-type='email' ><label for="form-input-email"><input required type="email" id="form-input-email" value="" name="email" onkeyup="this.setAttribute('value', this.value);" placeholder=" "><field-placeholder>Email</field-placeholder><field-status-bar></field-status-bar><field-asterisk data-notice="This field is required."></field-asterisk></label><field-note class=error></field-note></input-field><input-field data-type='text' ><label for="form-input-companyName"><input required type="text" id="form-input-companyName" value="" name="companyName" onkeyup="this.setAttribute('value', this.value);" placeholder=" "><field-placeholder>Company</field-placeholder><field-status-bar></field-status-bar><field-asterisk data-notice="This field is required."></field-asterisk></label><field-note class=error></field-note></input-field><input-field data-type='select' ><label for="form-input-actionRequired"><select required id="form-input-actionRequired" data-set="N" name="actionRequired" data-value="" onkeyup="this.setAttribute('data-value', this.value);" placeholder=" "><option value="" disabled selected>Select an option</option><option value="Credit"> Credit </option><option value="Replacement"> Replacement </option></select><field-placeholder>Action Required</field-placeholder><field-status-bar></field-status-bar><field-asterisk data-notice="This field is required."></field-asterisk></label><field-note class=error></field-note></input-field><input-field data-type='number' ><label for="form-input-phone"><input required type="number" id="form-input-phone" value="" name="phone" onkeyup="this.setAttribute('value', this.value);" placeholder=" "><field-placeholder>Telephone</field-placeholder><field-status-bar></field-status-bar><field-asterisk data-notice="This field is required."></field-asterisk></label><field-note class=error></field-note></input-field><input-field data-type='select' ><label for="form-input-rmaReason"><select id="form-input-rmaReason" data-set="N" name="rmaReason" data-value="" onkeyup="this.setAttribute('data-value', this.value);" placeholder=" "><option value="" disabled selected>Select an option</option><option value="Compatibility Issue"> Compatibility Issue </option><option value="Low Power"> Low Power </option><option value="Physical Defect"> Physical Defect </option><option value="Dead on Arrival"> Dead on Arrival </option><option value="Incorrect Part Ordered"> Incorrect Part Ordered </option><option value="Mis-shipped"> Mis-shipped </option><option value="Label or Packaging Defect"> Label or Packaging Defect </option><option value="Other"> Other </option></select><field-placeholder>RMA Reason</field-placeholder><field-status-bar></field-status-bar></label><field-note class=error></field-note></input-field><input-field data-type='file' ><label for="form-input-supportingFile[]"><input type="file" id="form-input-supportingFile" value="" name="supportingFile[]" accept="image/*,.pdf" ><field-placeholder>Supporting File (accepted file formats: .jpg, .gif, .png, .pdf)</field-placeholder><field-status-bar></field-status-bar></label><field-note></field-note></input-field></div><div><input-field data-type='textarea' ><label for="form-input-address"><textarea id="form-input-address" name="address" data-value="" onkeyup="this.setAttribute('data-value', this.value);" placeholder=" "></textarea><field-placeholder>Address</field-placeholder><field-status-bar></field-status-bar></label><field-note class=error></field-note></input-field><input-field data-type='text' ><label for="form-input-cityShippingAddress"><input type="text" id="form-input-cityShippingAddress" value="" name="cityShippingAddress" onkeyup="this.setAttribute('value', this.value);" placeholder=" "><field-placeholder>City</field-placeholder><field-status-bar></field-status-bar></label><field-note class=error></field-note></input-field><input-field data-type='text' ><label for="form-input-zipCode"><input type="text" id="form-input-zipCode" value="" name="zipCode" onkeyup="this.setAttribute('value', this.value);" placeholder=" "><field-placeholder>Zip Code</field-placeholder><field-status-bar></field-status-bar></label><field-note class=error></field-note></input-field><input-field data-type='select' ><label for="form-input-country"><select id="form-input-country" data-set="Y" name="country" data-value="US" onkeyup="this.setAttribute('data-value', this.value);" placeholder=" "><option value="AF"> Afghanistan </option><option value="AX"> Åland Islands </option><option value="AL"> Albania </option><option value="DZ"> Algeria </option><option value="AS"> American Samoa </option><option value="AD"> Andorra </option><option value="AO"> Angola </option><option value="AI"> Anguilla </option><option value="AQ"> Antarctica </option><option value="AG"> Antigua and Barbuda </option><option value="AR"> Argentina </option><option value="AM"> Armenia </option><option value="AW"> Aruba </option><option value="AU"> Australia </option><option value="AT"> Austria </option><option value="25807"> Austria </option><option value="AZ"> Azerbaijan </option><option value="BS"> Bahamas </option><option value="BH"> Bahrain </option><option value="BD"> Bangladesh </option><option value="BB"> Barbados </option><option value="BY"> Belarus </option><option value="BE"> Belgium </option><option value="BZ"> Belize </option><option value="BJ"> Benin </option><option value="BM"> Bermuda </option><option value="BT"> Bhutan </option><option value="BO"> Bolivia, Plurinational State of </option><option value="BA"> Bosnia and Herzegovina </option><option value="BW"> Botswana </option><option value="BV"> Bouvet Island </option><option value="BR"> Brazil </option><option value="IO"> British Indian Ocean Territory </option><option value="BN"> Brunei Darussalam </option><option value="BG"> Bulgaria </option><option value="BF"> Burkina Faso </option><option value="BI"> Burundi </option><option value="KH"> Cambodia </option><option value="CM"> Cameroon </option><option value="CA"> Canada </option><option value="CV"> Cape Verde </option><option value="KY"> Cayman Islands </option><option value="CF"> Central African Republic </option><option value="TD"> Chad </option><option value="CL"> Chile </option><option value="CN"> China </option><option value="CX"> Christmas Island </option><option value="CC"> Cocos (Keeling) Islands </option><option value="CO"> Colombia </option><option value="KM"> Comoros </option><option value="CG"> Congo </option><option value="CD"> Congo, Democratic Republic of the </option><option value="CK"> Cook Islands </option><option value="CR"> Costa Rica </option><option value="HR"> Croatia </option><option value="CU"> Cuba </option><option value="CW"> Curaçao </option><option value="CY"> Cyprus </option><option value="CZ"> Czech Republic </option><option value="DK"> Denmark </option><option value="DJ"> Djibouti </option><option value="DM"> Dominica </option><option value="DO"> Dominican Republic </option><option value="EC"> Ecuador </option><option value="EG"> Egypt </option><option value="SV"> El Salvador </option><option value="GQ"> Equatorial Guinea </option><option value="ER"> Eritrea </option><option value="EE"> Estonia </option><option value="ET"> Ethiopia </option><option value="FK"> Falkland Islands (Malvinas) </option><option value="FO"> Faroe Islands </option><option value="FJ"> Fiji </option><option value="FI"> Finland </option><option value="FR"> France </option><option value="GF"> French Guiana </option><option value="PF"> French Polynesia </option><option value="TF"> French Southern Territories </option><option value="GA"> Gabon </option><option value="GM"> Gambia </option><option value="GE"> Georgia </option><option value="DE"> Germany </option><option value="GH"> Ghana </option><option value="GI"> Gibraltar </option><option value="GR"> Greece </option><option value="GL"> Greenland </option><option value="GD"> Grenada </option><option value="GP"> Guadeloupe </option><option value="GU"> Guam </option><option value="GT"> Guatemala </option><option value="GG"> Guernsey </option><option value="GN"> Guinea </option><option value="GW"> Guinea-Bissau </option><option value="GY"> Guyana </option><option value="HT"> Haiti </option><option value="HM"> Heard Island and McDonald Islands </option><option value="HN"> Honduras </option><option value="HK"> Hong Kong </option><option value="HU"> Hungary </option><option value="IS"> Iceland </option><option value="IN"> India </option><option value="ID"> Indonesia </option><option value="IR"> Iran </option><option value="IQ"> Iraq </option><option value="IE"> Ireland </option><option value="IM"> Isle of Man </option><option value="IL"> Israel </option><option value="IT"> Italy </option><option value="CI"> Ivory Coast </option><option value="JM"> Jamaica </option><option value="JP"> Japan </option><option value="JE"> Jersey </option><option value="JO"> Jordan </option><option value="KZ"> Kazakhstan </option><option value="KE"> Kenya </option><option value="KI"> Kiribati </option><option value="KP"> Korea, Democratic People’s Republic of </option><option value="KR"> Korea, Republic of </option><option value="KW"> Kuwait </option><option value="KG"> Kyrgyzstan </option><option value="LA"> Lao People’s Democratic Republic </option><option value="LV"> Latvia </option><option value="LB"> Lebanon </option><option value="LS"> Lesotho </option><option value="LR"> Liberia </option><option value="LY"> Libya </option><option value="LI"> Liechtenstein </option><option value="LT"> Lithuania </option><option value="LU"> Luxembourg </option><option value="MO"> Macao </option><option value="MK"> Macedonia </option><option value="MG"> Madagascar </option><option value="MW"> Malawi </option><option value="MY"> Malaysia </option><option value="MV"> Maldives </option><option value="ML"> Mali </option><option value="MT"> Malta </option><option value="MH"> Marshall Islands </option><option value="MQ"> Martinique </option><option value="MR"> Mauritania </option><option value="MU"> Mauritius </option><option value="YT"> Mayotte </option><option value="MX"> Mexico </option><option value="FM"> Micronesia, Federated States of </option><option value="MD"> Moldova </option><option value="MC"> Monaco </option><option value="MN"> Mongolia </option><option value="ME"> Montenegro </option><option value="MS"> Montserrat </option><option value="MA"> Morocco </option><option value="MZ"> Mozambique </option><option value="MM"> Myanmar </option><option value="NA"> Namibia </option><option value="NR"> Nauru </option><option value="NP"> Nepal </option><option value="NL"> Netherlands </option><option value="NC"> New Caledonia </option><option value="NZ"> New Zealand </option><option value="NI"> Nicaragua </option><option value="NE"> Niger </option><option value="NG"> Nigeria </option><option value="NU"> Niue </option><option value="NF"> Norfolk Island </option><option value="MP"> Northern Mariana Islands </option><option value="NO"> Norway </option><option value="OM"> Oman </option><option value="PK"> Pakistan </option><option value="PW"> Palau </option><option value="PS"> Palestine </option><option value="PA"> Panama </option><option value="PG"> Papua New Guinea </option><option value="PY"> Paraguay </option><option value="PE"> Peru </option><option value="PH"> Philippines </option><option value="PN"> Pitcairn </option><option value="PL"> Poland </option><option value="PT"> Portugal </option><option value="PR"> Puerto Rico </option><option value="QA"> Qatar </option><option value="RE"> Réunion </option><option value="RO"> Romania </option><option value="RU"> Russian Federation </option><option value="RW"> Rwanda </option><option value="BL"> Saint Barthélemy </option><option value="SH"> Saint Helena </option><option value="KN"> Saint Kitts and Nevis </option><option value="LC"> Saint Lucia </option><option value="MF"> Saint Martin (French part) </option><option value="PM"> Saint Pierre and Miquelon </option><option value="VC"> Saint Vincent and the Grenadines </option><option value="WS"> Samoa </option><option value="SM"> San Marino </option><option value="ST"> Sao Tome and Principe </option><option value="SA"> Saudi Arabia </option><option value="SN"> Senegal </option><option value="RS"> Serbia </option><option value="SC"> Seychelles </option><option value="SL"> Sierra Leone </option><option value="SG"> Singapore </option><option value="SX"> Sint Maarten (Dutch part) </option><option value="SK"> Slovakia </option><option value="SI"> Slovenia </option><option value="SB"> Solomon Islands </option><option value="SO"> Somalia </option><option value="ZA"> South Africa </option><option value="GS"> South Georgia and the South Sandwich Islands </option><option value="SS"> South Sudan </option><option value="ES"> Spain </option><option value="LK"> Sri Lanka </option><option value="SD"> Sudan </option><option value="SR"> Suriname </option><option value="SJ"> Svalbard and Jan Mayen </option><option value="SZ"> Swaziland </option><option value="SE"> Sweden </option><option value="CH"> Switzerland </option><option value="SY"> Syria </option><option value="TW"> Taiwan </option><option value="TJ"> Tajikistan </option><option value="TZ"> Tanzania </option><option value="TH"> Thailand </option><option value="TL"> Timor-Leste </option><option value="TG"> Togo </option><option value="TK"> Tokelau </option><option value="TO"> Tonga </option><option value="TT"> Trinidad and Tobago </option><option value="TN"> Tunisia </option><option value="TR"> Turkey </option><option value="TM"> Turkmenistan </option><option value="TC"> Turks and Caicos Islands </option><option value="TV"> Tuvalu </option><option value="UG"> Uganda </option><option value="UA"> Ukraine </option><option value="AE"> United Arab Emirates </option><option value="GB"> United Kingdom </option><option value="US"> United States </option><option value="UM"> United States Minor Outlying Islands </option><option value="UY"> Uruguay </option><option value="UZ"> Uzbekistan </option><option value="VU"> Vanuatu </option><option value="VA"> Vatican City </option><option value="VE"> Venezuela, Bolivarian Republic of </option><option value="VN"> Viet Nam </option><option value="35458"> Vietnam </option><option value="VG"> Virgin Islands, British </option><option value="VI"> Virgin Islands, U.S. </option><option value="WF"> Wallis and Futuna </option><option value="EH"> Western Sahara </option><option value="YE"> Yemen </option><option value="ZM"> Zambia </option><option value="ZW"> Zimbabwe </option></select><field-placeholder>Country</field-placeholder><field-status-bar></field-status-bar></label><field-note class=error></field-note></input-field><input-field data-type='select' data-ff-rule='{"show":false,"type":"all","criteria":[{"tgt":"country","o":"!=","val":"US"}]}'><label for="form-input-state"><select id="form-input-state" data-set="Y" name="state" data-value="" onkeyup="this.setAttribute('data-value', this.value);" placeholder=" "><option value=""> Select a State </option><option value="AL"> Alabama </option><option value="AK"> Alaska </option><option value="AZ"> Arizona </option><option value="AR"> Arkansas </option><option value="CA"> California </option><option value="CO"> Colorado </option><option value="CT"> Connecticut </option><option value="DE"> Delaware </option><option value="DC"> District of Columbia </option><option value="FL"> Florida </option><option value="GA"> Georgia </option><option value="HI"> Hawaii </option><option value="ID"> Idaho </option><option value="IL"> Illinois </option><option value="IN"> Indiana </option><option value="IA"> Iowa </option><option value="KS"> Kansas </option><option value="KY"> Kentucky </option><option value="LA"> Louisiana </option><option value="ME"> Maine </option><option value="MD"> Maryland </option><option value="MA"> Massachusetts </option><option value="MI"> Michigan </option><option value="MN"> Minnesota </option><option value="MS"> Mississippi </option><option value="MO"> Missouri </option><option value="MT"> Montana </option><option value="NE"> Nebraska </option><option value="NV"> Nevada </option><option value="NH"> New Hampshire </option><option value="NJ"> New Jersey </option><option value="NM"> New Mexico </option><option value="NY"> New York </option><option value="NC"> North Carolina </option><option value="ND"> North Dakota </option><option value="OH"> Ohio </option><option value="OK"> Oklahoma </option><option value="OR"> Oregon </option><option value="PA"> Pennsylvania </option><option value="RI"> Rhode Island </option><option value="SC"> South Carolina </option><option value="SD"> South Dakota </option><option value="TN"> Tennessee </option><option value="TX"> Texas </option><option value="UT"> Utah </option><option value="VT"> Vermont </option><option value="VA"> Virginia </option><option value="WA"> Washington </option><option value="WV"> West Virginia </option><option value="WI"> Wisconsin </option><option value="WY"> Wyoming </option></select><field-placeholder>State</field-placeholder><field-status-bar></field-status-bar></label><field-note class=error></field-note></input-field></div><div data-count="1"><dynamic-field class="private"><input-field data-type='text' ><label for="partsCode"><input required type="text" id="partsCode" value="" name="partsCode" onkeyup="this.setAttribute('value', this.value);" placeholder=" "><field-placeholder>Part Code</field-placeholder><field-status-bar></field-status-bar><field-asterisk data-notice="This field is required."></field-asterisk></label><field-note class=error></field-note></input-field><input-field data-type='text' ><label for="quantity"><input required type="text" id="quantity" value="" name="quantity" onkeyup="this.setAttribute('value', this.value);" placeholder=" "><field-placeholder>Quantity</field-placeholder><field-status-bar></field-status-bar><field-asterisk data-notice="This field is required."></field-asterisk></label><field-note class=error></field-note></input-field><input-field data-type='text' ><label for="manufacturer"><input required type="text" id="manufacturer" value="" name="manufacturer" onkeyup="this.setAttribute('value', this.value);" placeholder=" "><field-placeholder>Manufacturer</field-placeholder><field-status-bar></field-status-bar><field-asterisk data-notice="This field is required."></field-asterisk></label><field-note class=error></field-note></input-field><input-field data-type='text' ><label for="firmwareVersion"><input required type="text" id="firmwareVersion" value="" name="firmwareVersion" onkeyup="this.setAttribute('value', this.value);" placeholder=" "><field-placeholder>Firmware Version</field-placeholder><field-status-bar></field-status-bar><field-asterisk data-notice="This field is required."></field-asterisk></label><field-note class=error></field-note></input-field><input-field data-type='text' ><label for="serialNumber"><input required type="text" id="serialNumber" value="" name="serialNumber" onkeyup="this.setAttribute('value', this.value);" placeholder=" "><field-placeholder>Serial Number</field-placeholder><field-status-bar></field-status-bar><field-asterisk data-notice="This field is required."></field-asterisk></label><field-note class=error></field-note></input-field><input-field data-type='text' ><label for="modalNumber"><input required type="text" id="modalNumber" value="" name="modalNumber" onkeyup="this.setAttribute('value', this.value);" placeholder=" "><field-placeholder>Model Number</field-placeholder><field-status-bar></field-status-bar><field-asterisk data-notice="This field is required."></field-asterisk></label><field-note class=error></field-note></input-field><input-field data-type='textarea' ><label for="faultInformation"><textarea required id="faultInformation" name="faultInformation" data-value="" onkeyup="this.setAttribute('data-value', this.value);" placeholder=" "></textarea><field-placeholder>Fault Information</field-placeholder><field-status-bar></field-status-bar><field-asterisk data-notice="This field is required."></field-asterisk></label><field-note class=error></field-note></input-field><duplicate-nav><button class="minus"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 100 100"><path d="M0,50h100 M50,100"></path></svg></button><button class="plus"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 100 100"><path d="M0,50h100 M50,0v100"></path></svg></button></duplicate-nav></dynamic-field><input-field data-type='textarea' ><label for="form-input-notes"><textarea id="form-input-notes" name="notes" data-value="" onkeyup="this.setAttribute('data-value', this.value);" placeholder=" "></textarea><field-placeholder>Additional Notes</field-placeholder><field-status-bar></field-status-bar></label><field-note class=error></field-note></input-field></div><button class="button-large" data-freeform-action="submit" type="submit" name="form_page_submit">Submit</button></fieldset></form></main><aside class="inverted-sidebar lo-right-sidebar"><h3>Details required</h3><h4>Transceivers, DAC and AOC</h4><ul><li>Details of the host device</li><li>Specification of the host device (Memory size, software image)</li><li>Linecard the optic was installed into</li><li>Has all cabling been verified?</li><li>Any error messages/logs from the host device</li></ul><h4>Cables</h4><ul><li>Details of the host device</li><li>Specification of the linecard the cable was connected to (if applicable)</li><li>Details of the port(s) the cable has been connected to</li><li>Any error messages/logs from the host device</li></ul></aside><footer class="footer-wrap lo-full"><div class="footer lo-full-content"><div class="footer--text"><a class="logo" aria-label="Return to home page" href="/"><svg xmlns="http://www.w3.org/2000/svg" class="logo" viewBox="0 0 383.2 86.5"><path style="stroke-width:0" class="plus" d="M20,35c-5.5,0.1-10.2,2.1-14.1,6S0,49.5,0,55c0,5.6,2,10.2,5.9,14.2C9.8,73.1,14.5,75,20,75 c5.6,0,10.2-2,14.1-5.8C38,65.3,40,60.6,40,55.1S38,44.9,34.1,41S25.6,35.1,20,35 M22.2,39.5c0.6,0.6,0.9,1.4,0.9,2.2V52h10.3 c0.8,0,1.5,0.3,2.2,0.9c0.6,0.6,0.9,1.3,0.9,2.1c0,0.8-0.3,1.6-0.9,2.2C35,57.8,34.3,58,33.4,58H23.1v10.4c0,0.8-0.3,1.5-0.9,2.2 c-0.6,0.6-1.3,0.8-2.1,0.8c-0.8,0-1.5-0.3-2.1-0.8c-0.6-0.6-0.9-1.4-0.9-2.2V57.9H6.8c-0.8,0-1.6-0.3-2.2-0.8 c-0.6-0.6-0.9-1.3-0.9-2.2c0-0.8,0.3-1.5,0.9-2.1c0.6-0.6,1.3-0.9,2.2-0.9H17V41.6c0-0.8,0.3-1.5,0.9-2.2c0.6-0.6,1.4-0.8,2.1-0.8 C20.9,38.6,21.6,38.9,22.2,39.5z"></path><g fill="none" 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