Online RMA Request

Online Return Authorization Form

Please fill out the following form to begin your RMA/RGA request. All fields are required.

Webstone Hydrocore

Zoeller Qwik Jon Premier Upflush System

    Your Name (required)

    Your Email (required)

    Company (required)

    Branch# and Address

    Quantity

    Manufacturer

    Returning a 95 or 98 series pump dated 1/19 or later?

    PLEASE DO NOT CUT THE CORD!!!

    Contractor Info

    Company Name

    Address

    Phone, Fax, and email

    Contact Person

    Homeowner Information

    Homeowner's Full Name and Address

    Amtrol Failed Tank Information

    Failed Unit Serial #

    Failed Unit Model Number

    Failed Unit Price

    Amtrol Replacement Tank Information

    Replacement Tank Serial #

    Replacement Tank Model #

    A photo of the date code or label on the product is required for warranty claim processing.

    Upload your files

    Model # (required)

    Debit Memo #

    Condition (required)

    Defective (Describe issue below)Good Product

    Defective Product Issue (Only Required for defective product)

    Purchasing Information (required)

    New Oatey Moda

    Zoeller Shark Grinder Pump