Fillable Rma Request Form For Korry Products - Esterline (Page 2 of 2) in pdf

Return Product Information

Return PO Number

(one per request)

Original PO Number:

Korry Part Number:

Customer Part Number:

Customer Rejection Number:

Return Quantity:

Serial Number & Date Code:

Aircraft Type:

Aircraft Tail#:

Reason for Return / Failure Description:

It is the responsibility of the requester to inform Korry Electronics if any airworthiness directives are

required to be incorporated. If applicable, please specify:

____________________________________________________________________________________

Foreign Customer Requirements:



Please submit a copy of your commercial invoice for prior review. This will reduce/eliminate US Customs

clearance delays.



Before returning the hardware, please contact Korry Product Support at the email listed above for the

following necessary processing US Customs clearance information:

• the RMA number to be included on all shipping documents

• the HTSUS tariff code

• required customs declaration from Korry (for Chapter 98 HTSUS)

• the value for customs purposes

• the authorized freight forwarder and import agent

If the hardware was altered or advanced in value after leaving the US, be sure to inform Korry Product

Support when submitting this form for proper HTSUS.

Foreign Customers Returning ITAR Product:

In addition to the foreign customer requirements, the following statement must be printed on the commercial invoice,

packing list, and international air waybill. Failure to comply with these requirements may result in a violation of ITAR

123.4(d):

a. For repaired units:

"This shipment is being imported in accordance with and under the authority of 22 CFR 123.4(a)(1)."

b. For upgraded units — Note the change to 22 CFR 123.4(b):

"This shipment is being imported in accordance with and under the authority of 22 CFR 123.4(b)."

For clarification: repairs include actual repairs and adding functionality under the original order that was not included

in the original shipment. Upgrades include the addition of new functionality not originally in the initial export approval.

A DSP-5 license will be needed for Korry to return the upgraded hardware.

Please contact Korry Product Support if you have any questions.

____________________________________________________________________________________

To submit this form, save this PDF and attach it to an email to

Please remember to attach a copy of your Purchase Order.

Form: PSO105

Page 2 of 2

Rev: -

File: RMA Request Form

Note: Printed copy of this document may not be controlled

Rma Request Form For Korry Products - Esterline Page 2

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