Please note that you must fill out a separate form for each device sent.

Company name*:

Customer data




Your e-mail address*:
Your internal process number:

Product type:

Product information

Device serial number:
This device was already in repair:

Please enter the e-mail address to which the costs estimate is to be sent.
If no e-mail address is entered, the costs estimate will be sent to the e-mail address specified above.

Phone number for queries:

Error description: 

Information and accessories: 
Please note all accessories you are going to submit with the device. Any necessary passwords for processing and testing should be also entered here.

    Yes We agree to refrain from an cost estimate up to a sum of € ,- (plus VAT) and to release an immediate repair with a reduced repair lump sum. 
  Data backup      By returning the the device the submitter confirms a recent backup was made. teXXmo accepts no responsibility for data loss during the RMA process.
                        By submitting the device, the sender confirms that he will pay for the test fee of 54.00 EUR, regardless of whether a repair is required or not.

You will receive a copy of the form via e-mail. If you do not receive an e-mail within 10 minutes after submitting the form, please contact us at: rma@teXXmo.com.


Fields marked with "*" are required.