Intergroup Returns | Laerdal Medical

This form is for intergroup returns only.

You must fill out this form to initiate the process
Once received our RMA team will be in contact with any additional follow up questions.
Do not request a credit, etc. if you are filling out this form.

Return Good Authorization Form

Your email address

Region

Customer Name

Account Number

Order/PO Number

Invoice Number

Part Number and Quantity

Reason for Return

Not working upon arrival Product functionality Product appearance User error Sales return Mis-order Duplicate shipment Other

Awareness Date

We will handle your personal contact details with care as outlined in Laerdal's Privacy Policy.