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Repair
WIKA Alexander Wiegand SE & Co. KG, Klingenberg, DE
Customer information
Your WIKA customer ID
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Pickup address
Your company
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Street and Number
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Address Suffix
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Zip Code
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City
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Country
Germany
Austria
Other
Contact
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Email
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Tax ID
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Telephone Prefix
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Telephone
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End customer
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Repair information
Your reference No.
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Serial ID
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Where to find the serial number?
WIKA Article ID
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Your Article ID
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Additional product description
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WIKA Sales order ID
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Your order No. / position
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Country of origin (foreign trade legislation)
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Quantity returned
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Product type
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Pressure
Temperature
Force
Level Measurement
Other
Problem description
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Repair Approval
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Up to 60% of the cost of a new product
Up to 80% of the cost of a new product
Cost estimate
Decontamination declaration
Warnings
Inflammable
Toxic
Corrosive
Harmful
Other *
safe
Medium in the process
Medium for process cleaning
Medium for cleaning
* Explosive, oxidizing, hazardous to the environment, biohazardous, radioactive
We hereby confirm to have filled in completely and truthfully the decontamination declaration on hand. The returned parts were carefully cleaned and are free of any residues in dangerous amounts. The shipment meets current legal requirements. We will bear any costs which might arise caused by any carelessness from our side.
We hereby confirm that we have completed truthfully and in full the present declaration of decontamination. However, the returned parts can still contain residual amounts of hazardous substances. This is why the transport will be declared as LQ (Limited Quantity).
Documents for information (< 2048 kB)
Attachment 1
Attachment 2
Attachment 3