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MSA Bacharach Service Request Form

Please complete the following Instrument Repair / Calibration Form to request a RMA Number for your Bacharach instrument. (Distributors can request in writing that repairs are shipped directly to the customer.) If at any point you have questions or are unable to locate the required information, call (800) 736-4666 × 2 to speak with a member of our customer service team.

"*" indicates required fields

1Calibration / Repair Details
2Billing / Shipping Information

Calibration / Repair Details

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Priority Service (Optional):
NIST Certificate (Optional):
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
This field is hidden when viewing the form
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
This field is hidden when viewing the form
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
This field is hidden when viewing the form
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
This field is hidden when viewing the form
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
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Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Please note that H25-IR PRO repairs are currently experiencing longer than normal lead times. Please contact Customer Service at 1-800-736-4666 x 2 with any questions.

Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
This field is hidden when viewing the form
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
This field is hidden when viewing the form
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
This field is hidden when viewing the form
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
This field is hidden when viewing the form
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
This field is hidden when viewing the form
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
Can’t find your part number? Call (800) 736-4666× 2 to speak with a member of our customer service team.
This field is hidden when viewing the form
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
This field is hidden when viewing the form
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
This field is hidden when viewing the form
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
This field is hidden when viewing the form
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.
This field is hidden when viewing the form
Can’t find your part number? Call (800) 736-4666 × 2 to speak with a member of our customer service team.

It appears that the instrument you have selected is obsolete. Please call (800) 736-4666 × 3 to speak with a member of our product support team or email help@mybacharach.com to discuss your options for replacing this instrument.

Your selected instrument is not available for service. Please call (800) 736-4666 × 2 to speak with a member of our customer service team or email help@mybacharach.com to discuss your options for repairing / replacing this instrument.

Reason(s) for Return:*

Pre-approved Service Amount

This is only an estimate. Exact quote will be sent upon repair evaluation.
Would you like to pre-approve repairs that do not exceed the estimated service charge?*

Billing Information

Do not enter credit card information on this form. Our team will contact you for credit card details upon repair completion. If no PO number available, please enter TBD
A member of our team will contact you for payment information. If no PO number available, please enter TBD
Net 30 payment terms can only be used if already approved by our Finance Department. If no PO number available, please enter TBD
Name:*
Is shipping address the same as the billing address?*

Shipping Information

Name (Shipping):*
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Agreements


By submitting, you agree that you have read and understand the Service Policy and the Service Pricing Guide.
Consent*
By providing my email address, I give my explicit consent to receive advertising messages (e.g. product & service information, event initiations and promotional contests) from MSA Safety and its group companies via email or telephone. I acknowledge and agree that my personal data will be processed by MSA Safety and its group companies for this purpose in accordance with MSA’s privacy policy and that my personal data will be transferred to, stored, and/or processed by MSA and third party partners on their behalf, in countries outside of European Union, but always under strict European legal obligations of data privacy. I can withdraw my consent at any time completely or partially with effect for the future.
View our Privacy Policy

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