Instrument or service complaint:

Reagent complaint
* required field
Complaint date:
Sort of instrument: *
Name and type of instrument: * e.g. Laura Smart
Serial number of instrument: * e.g.. 0157
Catalogue code of instrument:
Installation date:
Installed by:
Distributor / User:
Company name: *
Address - street, number: *
Address - city, postcode: *
Address - state: *
Address - phone: *
Your e-mail address: *
Distributor name:(if user complaints)
Complaint reason: *(max 508 characters)
  • Write number of error message, faulty part or how the fault or malfunction appears
  • If you are the distributor you can define needed spare parts - you have to follow out this specification – catalogue number / name of spare parts / needed number of pieces.
Attachments:(max 5 files, max 15MB/file)
If you have any images, scanned documents, videos etc. attach them here.