Date(Required) MM slash DD slash YYYY PO Number:(Required)Please provide the PO number, if it can't be provided, please make sure to attach a picture of label / date code on the lamp / etc.Date of manufacture(Required) MM slash DD slash YYYY Available on the nameplateJob Site Name:(Required)Contact Name in Job Site:(Required)Phone Number(Required)Email(Required) Product(Required)Date of Installation:(Required) MM slash DD slash YYYY Application(Required)---------FactoryOfficeStoreWarehouseOtherNumber of hours of operation per day:(Required)Describe the problem you are experiencing:(Required)AnalysisTo better serve you, please answer the following questionsA) General Questions:Voltage used by customer:(Required)---------120vac277vac347vacType of environment /ambient temperature?(Required)What is the make and model of the fixture? Is the fixture open or enclosed?(Required)How many lamps are defective?(Required)Are the units connected to a generator or an electrical inverter?(Required)Are the defective units connected to the same electrical circuit or a different circuit?(Required)Did the defective units stop functioning after a power outage or similar phenomenon?(Required)B) General Lighting:Are the LED's/lamps flashing? Do they turn off and turn back on?(Required)Are there any dimmers being used?(Required) Yes NoWhat is the make and model of the dimmer? (Are the dimmers compatible as per specifications)(Required)How many units are connected per dimmer?(Required)Was an adjustment done on the dimmer?(Required)For the LED lamps(T5/T8) used as a fluorescent replacement, what type of unit and ballast are used?(Required)Please provide the make, model, and year of the fixture and ballasts? (Are the ballasts compatible as per specifications)(Required)How many lamps are being connected?(Required)Have the sockets been changed on the units?(Required)For ballasts, how many lamps are being installed per fixture?(Required)Was the wiring correctly done? Please provide pictures(Required)NoteIf you have photos / videos, please send them by email them along with the customer complaint formFile Drop files here or Select filesMax. file size: 128 MB.
