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Returning Equipment Form
Epoch-CG
2020-02-10T10:09:54-05:00
Standard Questions for Returning Equipment
Company Name
*
Lease/RMA Number
*
Email Address to receive confirmation and Bill of Lading Information
*
Date of pick-up? (equipment must be ready to ship prior to this date)
*
Date Format: MM slash DD slash YYYY
Address of pick-up
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Commercial loading dock available?
*
Yes
No
Life-Gate truck needed?
*
Yes
No
Dock Hours
*
Does the driver need to load the equipment?
*
Yes
No
Address being shipped to:
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Commercial loading dock available?
Yes
No
Life-Gate truck needed?
Yes
No
Dock Hours
Is the equipment packed, wrapped and palletized or does it need to be done by the shipping company?
*
Total number of pallets or roll-on equipement
*
Weights and Dimensions per pallet/item:
*
Photos of equipment/pallets to be returned
Drop files here or
Any Hazardous Materials?
Yes
No
Name of contact at the pick-up location:
*
First Name
Last Name
Phone Number of contact at the pick-up location:
*
Do the pallets/packing material need to be replaced/replenished?
*
Yes
No