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Troubleshooting Form

Please note missing or incorrect information may result in slowing down the process.

Are you a Distributor or End-User?

DistributorEnd User

Distributor Details

Company

Name

Phone

End User Details

Company

Name

Phone

Address

EU region: Economic Operators Registration and Identification number (EORI)

Unit Details

Model

Serial Number

X0 000 000

Type of filter used

Respirator application (i.e. Healthcare/Masonry/Mining/Welding)

Environment (i.e. temperature, humidity, wet environment)

How many units do you have in total?

Issue description

Purchase Details

Place of purchase (i.e. Distributor name or direct)

Date of purchase

Please provide details if a different return address is required, or any additional delivery instructions

Support Region

OH&S Declaration – Any contaminated returned product MUST be appropriately packaged and marked. Any harmful substance such as pesticides, poisons, mine tailings etc residual on its surface may cause possible ill health effects to the people at CleanSpace who are handling or repairing the equipment. Please declare what the substance may be so we are able to handle it responsibly and clean the equipment prior to repairing.

I Agree