Repair Return Form

Name *

Company *

Street *

City *

State *

Zip *

Direct Phone Number *

E-mail *

NSK AMERICA CORPORATION

ATTN: INDUSTRIAL REPAIRS

1800 GLOBAL PARKWAY

HOFFMAN ESTATES, IL 60192

NSK America Corporation will evaluate your claim and provide a free estimation.

Product Model *

Serial Number *

Review Type *

Description of Issue *

Product Model	Serial Number	Estimate or Warranty	Description of issue	Action

*Warranty claim must include valid copy of purchase or repair invoice.

NSK Authorized Distributor

Distributor Branch Location

Distributor City, State, Zip Code

Distributor Contact Name

Distributor Contact E-mail Address

Distributor Contact Direct Phone Number

A COPY OF THIS FORM WILL BE SENT TO YOUR EMAIL. PLEASE PRINT THE PDF AND SEND IT BACK WITH YOUR PRODUCT(S).

Please retain a copy for your records.

PLEASE NOTE: In the event that we are unable to garner a repair response in 30 days, we will return your items to you unrepaired.