Repair Order Request

Please complete the Repair information below and submit to Benchmark. Upon receipt, you will be sent a Repair Order number by our Customer Service Department, and instructions for shipping the unit to one of our service centers.

Customer information:

Contact Email Address*
Company Name*
First Name*
Last Name*
Contact Phone Number*
Ext.
Alert! Per manufacturer guidelines, we cannot accept any equipment for repair that has been exposed to flood waters or extreme weather. This equipment should be eligible for an insurance claim. Please contact your account representative at 470-865-6000 to place emergency equipment orders.

Include your Shipping Information below:

Return Shipping Location

Company Name*
Contact Name*
Address*
City*
State*
Zip*
Contact Phone Number*

Select return shipping method:

Select Preferred Repair Type:

Enter information about the unit(s) to be repaired in the table below:

Equipment Category	Equipment Manufacturer	Equipment Model	Serial Number	Problem Description