If you believe your scanner has a hardware issue or is defective, use this form to submit an RMA request for your scanner.  This form is required for you to get service on your scanner. 
Customer Information
Company Name:  
Address 1:  
Address 2:
City:  
State:  
Zip:  
   
Contact:  
Phone:  
E-mail:    
Alternate E-mail:  
Unit Information
Review