Repair Form

Please complete the form below as completely as possible. As soon as it’s done, a member of our team will contact you. If you’re sending in your equipment for repair, please print out this form and include it with your package. Thank you!

Repair Form

Customer Information
Repair Information
Shipping Information

Company Name

First Name

Last Name

Shipping Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number

Alternative Phone Number

VAT Number

I don't have a VAT number

I understand I will be charged VAT on a chargeable repair

Are you a business user?

Yes

Add another contact

Name

Return Merchandise Authorisation (RMA) number:

Brand

Model

Serial Number

Sensor SN

Is your camera under warranty?

Yes

Do you want a repair quote?

Yes

Fault

If the camera has been used in a hazardous environment, please give details with the fault.

Accessories shipped with camera (incl. dust caps):

Tracking Number:

Signed

Weight

Dimensions

Date / Time

Have questions? Let’s talk.

If you’re exploring a new application or need to discuss technical requirements, our team is available to help. We welcome detailed questions and are ready to support your process with clarity and precision.

Get in touch

Atik Cameras Unipessoal Lda.
R. Horta de Bacelos, 15
2690-390 Santa Iria da Azoia
Lisbon, Portugal