Copy of Technical Support

Warranty Claim Form

Customer Name:
Customer Title:
Customer Company:
Customer Country:
Customer Street Address:
Customer City:
Customer State:
Customer Zip Code:
Customer Phone Number:
Distributor Name:
Distributor Contact:
Sales Rep Name:
Sales Rep Contact:
Original Order Number:
Number of Units Installed:
Number of Units Effected:
How Long Have the Units Been Installed:
What Was the Application:
Is the Fixture Still Installed:
Part Number 1:
Part Number 1 Serial Numbers:
Part Number 2:
Part Number 2 Serial Numbers:
Part Number 3:
Part Number 3 Serial Numbers:
Problem Experiencing:
Issue Being Reported:
Other Supply:
Measured Voltage:
Transformer Configuration:
Room Temperature Where Installed:
Was the unit near any large heat source?:
Corrosive or Salt Water:
Susceptible to Lightning Strikes:
Highly Inductive Loads From Same Source:
Separate Circuits:
Power Cycling Restore Function:
Is there a backup generator involved?:
Solvents or Chemicals Used to Clean:
Volatile Organic Compounds:

For technical support and product queries, please contact:

Technical Support

For technical support regarding IntelliLED™ Wireless Controls, please contact:

IntelliLED Support AMERICAS

IntelliLED Support EMEA

IntelliLED Support APAC


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