Click here for instructions on completing the IFAR. You may also click on the form section headers or underlined fields to get more information about that part of the form. The * symbol denotes a required field.

* Unique Reference Number or PO Number    Customer Information * Regional Number  102-Argentina200-Australia109-Belize600-Bonaire Netherland Antilles101-Brazil115-Canada114-Cayaman Islands110-Columbia103-Costa Rica501-Finland504-France503-Germany105-Guatemala112-Guyana106-Honduras403-Indonesia506-Italy113-Jamaica113-Jamaica300-Japan103-Mexico107-Nicaragua402-North Asia505-Nortic Region104-Panama507-Romania601-Saint Lucia108-Salvador401-Southeast Asia111-Suriname602-Trinidad, West Indies502-UK * Customer Name * Address 1 Address 2 * City State Zip/Postal Code * Country * Phone Number Ext. Cell Number Fax Number * Contact Name Authorized Service Representative Information * Company * Address 1 Address 2 * City State Zip/Postal Code * Country * Phone Number Ext. Cell Number Fax Number * Service Contact * Contact eMail Product Information * Product Brand LSG  IPM/Lortec  SSG  FPS  OEM   Fortress/Patriot  Ferrups  Other  Check here if an RMA is Requested * Equipment Model * Voltage V Startup Date (dd/mm/yyyy) * Frequency Hz * Serial Number * Rating kVa Service Information * Type of Service Startup  PM  Emergency Service ModificationsOther  Parts Used Quantity Description Part Number Currently Under Warranty Yes  $ Yes  $ Yes  $ Yes  $ Yes  $ Yes  $ Yes  $ Yes  $ Yes  $ Yes  $ Shipping Information: Please provide a COMPLETE shipping address Select shipping location: Please be sure to verify the Shipping Address before submitting the form. Ship to Customer Address (shown above) Ship to Service Representative Address (shown above) Ship to Specified Address Below: * Company * Address 1 Address 2 * City State Zip/Postal Code * Country * Attn.: * EMail: * Ship Via Air  Ocean  Courier * Are Partial Shipments Allowed?   Yes  No Check here if this is an EMERGENCY request (unit down at customer site - need parts to repair) Billing Information Company Address 1 Address 2 City State Zip/Postal Code Country Attn.: Diagnostic Information * Date of Customer Service Call (dd/mm/yyyy) Date Unit was Repaired (dd/mm/yyyy) (leave blank if not repaired yet) * Reported Problem * Actual Problem Found * Corrective Action Implemented