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Repair Form Application

Request For Repair

Please fill this form out to start the process. Upon submitting this form you will be given an Repair Form Number for your request.

Please ship units to the following address, ensuring the Repair Form Number is displayed on the outside of the box. If you do not require a label, you can ship your TOUGHBOOK at your earliest convenience once you have completed the form and received an Repair Form number.

Attn: Repair Form Number ______
101 North Plains Industrial Rd Bldg. #2
Wallingford, CT 06492




Full name*:

Street Address*:

Address Line 2:



Zip Code*:


Email address*:



Model #*
(e.g. CF-31SBLJGDM)


Serial # *
(e.g. 1AAAA11111)

 Warranty Status:

In Warranty Out of Warranty Not Sure
Need Box for Shipping
Need label for Shipping


*Out of warranty units only: An additional $15 charge will be incurred for a box and label.

Brief Description of the Problem*:

I give consent to use this information to send additional emails and communication as described in your Privacy Policy (required)

Telrepco is an authorized Panasonic Diamond Partner
Telrepco is an authorized Panasonic TOUGHBOOK Repair and Service Center
25 Years at Work TOUGHBOOK

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