Leybold

Returns form

Contamination

Please fill in the Declaration of contamination HS2 Form and include in shipment (link to Form).

Components contaminated by microbiological, explosive or radioactive products/substances will not be accepted without written evidence of decontamination. If you click box 2 on this Form (Equipment has been used with: Radioactive substances, biological or infectious agents, mercury, polychlorinated biphenyls (PCB’s), dioxins or sodium azide) please get in touch with us before sending the shipment.

Declaration *

I hereby confirm, that the product has not been used or that the attached „Declaration of Contamination of Compressors, Vacuum Pumps and Components“ has been completed correctly.*

Process

Material number

Model

Serial number

Order number

Please enter the original order number if available.

Accessories included

Return shipment

Original delivery note number

Delivery note number starting with 8… (8-digit)

Return reason *

Product condition

CCM number (if available)

Complaint reference starting with 2000…. (9-digit) if available

Remarks

Customer information

Land

Customer number

Company name *

Zip code *

City *

Street *

Street number

Address addition

Contact person

Email *

Telephone *

Delivery address

If the return reason is calibration, please choose the cologne delivery address, in all other cases please use Schenker Deutschland in Dresden.

Delivery address

Schenker Deutschland AG, c/o Leybold Dresden GmbH, Abteilung Logistik, Gottfried-Schenker-Strasse 1, 01471 Radeburg, Deutschland
Leybold GmbH, Wareneingang, Bonner Strasse 498, 50968 Köln, Deutschland

Contact person Leybold

Telephone Leybold

Remark Leybold

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