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Air Shower
Animal Research Workstation
Anti-Vibration Table
ART Workstation
Automated Nucleic Acid Extraction System
Biological Safety Cabinet
Bioreactor
Ceiling Laminar Airflow Unit
Cell Culture Media and Supplement
Cell Culture Monitoring System
Cell Harvesting System
Centrifuge
CO₂ Incubator
Culture Dish for In Vitro Fertilization (IVF)
Cytotoxic Cabinet
Downflow Booth
Ducted Fume Hood
Ductless Fume Hood
Filtered Storage Cabinet
Garment Storage Cabinet
Glassware Hood
In Vitro Fertilization (IVF) Incubator
Isolators
Laboratory Combination Refrigerator and Freezer
Laboratory Freezer
Laboratory Incubator
Laboratory Oven
Laboratory Refrigerator
Laminar Flow Cabinet
Liquid Nitrogen Biological Container
Macroporous Carrier
Microplate Shaker/Incubator
Orbital Shaker
Pass Box
PCR Cabinet
PCR Thermal Cycler
Pipette
Restricted Access Barrier System
Sample Monitoring Software
Sputum Booth
Time-Lapse Incubator
Ultra-low Temperature Freezer
Validation Equipment
Ventilated Balance Enclosure
Solutions
Industrial/Applied Sciences
Agriculture
Alternative Proteins
Animal Science and Veterinary
Automotive
Cellular Agriculture
Chemicals
Compact-Sized Solutions
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Defect Form Request
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SECTION 1: Customer Information
* Name
* Title
* Company
(Esco Office/Distributor)
* Int'l Phone Number
United States
+1
United Kingdom
+44
Afghanistan (افغانستان)
+93
Albania (Shqipëri)
+355
Algeria (الجزائر)
+213
American Samoa
+1
Andorra
+376
Angola
+244
Anguilla
+1
Antigua and Barbuda
+1
Argentina
+54
Armenia (Հայաստան)
+374
Aruba
+297
Ascension Island
+247
Australia
+61
Austria (Österreich)
+43
Azerbaijan (Azərbaycan)
+994
Bahamas
+1
Bahrain (البحرين)
+973
Bangladesh (বাংলাদেশ)
+880
Barbados
+1
Belarus (Беларусь)
+375
Belgium (België)
+32
Belize
+501
Benin (Bénin)
+229
Bermuda
+1
Bhutan (འབྲུག)
+975
Bolivia
+591
Bosnia and Herzegovina (Босна и Херцеговина)
+387
Botswana
+267
Brazil (Brasil)
+55
British Indian Ocean Territory
+246
British Virgin Islands
+1
Brunei
+673
Bulgaria (България)
+359
Burkina Faso
+226
Burundi (Uburundi)
+257
Cambodia (កម្ពុជា)
+855
Cameroon (Cameroun)
+237
Canada
+1
Cape Verde (Kabu Verdi)
+238
Caribbean Netherlands
+599
Cayman Islands
+1
Central African Republic (République centrafricaine)
+236
Chad (Tchad)
+235
Chile
+56
China (中国)
+86
Christmas Island
+61
Cocos (Keeling) Islands
+61
Colombia
+57
Comoros (جزر القمر)
+269
Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)
+243
Congo (Republic) (Congo-Brazzaville)
+242
Cook Islands
+682
Costa Rica
+506
Côte d’Ivoire
+225
Croatia (Hrvatska)
+385
Cuba
+53
Curaçao
+599
Cyprus (Κύπρος)
+357
Czech Republic (Česká republika)
+420
Denmark (Danmark)
+45
Djibouti
+253
Dominica
+1
Dominican Republic (República Dominicana)
+1
Ecuador
+593
Egypt (مصر)
+20
El Salvador
+503
Equatorial Guinea (Guinea Ecuatorial)
+240
Eritrea
+291
Estonia (Eesti)
+372
Eswatini
+268
Ethiopia
+251
Falkland Islands (Islas Malvinas)
+500
Faroe Islands (Føroyar)
+298
Fiji
+679
Finland (Suomi)
+358
France
+33
French Guiana (Guyane française)
+594
French Polynesia (Polynésie française)
+689
Gabon
+241
Gambia
+220
Georgia (საქართველო)
+995
Germany (Deutschland)
+49
Ghana (Gaana)
+233
Gibraltar
+350
Greece (Ελλάδα)
+30
Greenland (Kalaallit Nunaat)
+299
Grenada
+1
Guadeloupe
+590
Guam
+1
Guatemala
+502
Guernsey
+44
Guinea (Guinée)
+224
Guinea-Bissau (Guiné Bissau)
+245
Guyana
+592
Haiti
+509
Honduras
+504
Hong Kong (香港)
+852
Hungary (Magyarország)
+36
Iceland (Ísland)
+354
India (भारत)
+91
Indonesia
+62
Iran (ایران)
+98
Iraq (العراق)
+964
Ireland
+353
Isle of Man
+44
Israel (ישראל)
+972
Italy (Italia)
+39
Jamaica
+1
Japan (日本)
+81
Jersey
+44
Jordan (الأردن)
+962
Kazakhstan (Казахстан)
+7
Kenya
+254
Kiribati
+686
Kosovo
+383
Kuwait (الكويت)
+965
Kyrgyzstan (Кыргызстан)
+996
Laos (ລາວ)
+856
Latvia (Latvija)
+371
Lebanon (لبنان)
+961
Lesotho
+266
Liberia
+231
Libya (ليبيا)
+218
Liechtenstein
+423
Lithuania (Lietuva)
+370
Luxembourg
+352
Macau (澳門)
+853
Madagascar (Madagasikara)
+261
Malawi
+265
Malaysia
+60
Maldives
+960
Mali
+223
Malta
+356
Marshall Islands
+692
Martinique
+596
Mauritania (موريتانيا)
+222
Mauritius (Moris)
+230
Mayotte
+262
Mexico (México)
+52
Micronesia
+691
Moldova (Republica Moldova)
+373
Monaco
+377
Mongolia (Монгол)
+976
Montenegro (Crna Gora)
+382
Montserrat
+1
Morocco (المغرب)
+212
Mozambique (Moçambique)
+258
Myanmar (Burma) (မြန်မာ)
+95
Namibia (Namibië)
+264
Nauru
+674
Nepal (नेपाल)
+977
Netherlands (Nederland)
+31
New Caledonia (Nouvelle-Calédonie)
+687
New Zealand
+64
Nicaragua
+505
Niger (Nijar)
+227
Nigeria
+234
Niue
+683
Norfolk Island
+672
North Korea (조선 민주주의 인민 공화국)
+850
North Macedonia (Северна Македонија)
+389
Northern Mariana Islands
+1
Norway (Norge)
+47
Oman (عُمان)
+968
Pakistan (پاکستان)
+92
Palau
+680
Palestine (فلسطين)
+970
Panama (Panamá)
+507
Papua New Guinea
+675
Paraguay
+595
Peru (Perú)
+51
Philippines
+63
Poland (Polska)
+48
Portugal
+351
Puerto Rico
+1
Qatar (قطر)
+974
Réunion (La Réunion)
+262
Romania (România)
+40
Russia (Россия)
+7
Rwanda
+250
Saint Barthélemy
+590
Saint Helena
+290
Saint Kitts and Nevis
+1
Saint Lucia
+1
Saint Martin (Saint-Martin (partie française))
+590
Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)
+508
Saint Vincent and the Grenadines
+1
Samoa
+685
San Marino
+378
São Tomé and Príncipe (São Tomé e Príncipe)
+239
Saudi Arabia (المملكة العربية السعودية)
+966
Senegal (Sénégal)
+221
Serbia (Србија)
+381
Seychelles
+248
Sierra Leone
+232
Singapore
+65
Sint Maarten
+1
Slovakia (Slovensko)
+421
Slovenia (Slovenija)
+386
Solomon Islands
+677
Somalia (Soomaaliya)
+252
South Africa
+27
South Korea (대한민국)
+82
South Sudan (جنوب السودان)
+211
Spain (España)
+34
Sri Lanka (ශ්රී ලංකාව)
+94
Sudan (السودان)
+249
Suriname
+597
Svalbard and Jan Mayen
+47
Sweden (Sverige)
+46
Switzerland (Schweiz)
+41
Syria (سوريا)
+963
Taiwan (台灣)
+886
Tajikistan
+992
Tanzania
+255
Thailand (ไทย)
+66
Timor-Leste
+670
Togo
+228
Tokelau
+690
Tonga
+676
Trinidad and Tobago
+1
Tunisia (تونس)
+216
Turkey (Türkiye)
+90
Turkmenistan
+993
Turks and Caicos Islands
+1
Tuvalu
+688
U.S. Virgin Islands
+1
Uganda
+256
Ukraine (Україна)
+380
United Arab Emirates (الإمارات العربية المتحدة)
+971
United Kingdom
+44
United States
+1
Uruguay
+598
Uzbekistan (Oʻzbekiston)
+998
Vanuatu
+678
Vatican City (Città del Vaticano)
+39
Venezuela
+58
Vietnam (Việt Nam)
+84
Wallis and Futuna (Wallis-et-Futuna)
+681
Western Sahara (الصحراء الغربية)
+212
Yemen (اليمن)
+967
Zambia
+260
Zimbabwe
+263
Åland Islands
+358
* Email
* Name of Institute
(End User)
SECTION 2: Delivery Information
* Delivery to Company Name
* Address
* Attention To
Telephone No.
Fax No.
Delivery To
Delivery to End User
Delivery to Esco Office
Delivery to Distributor
Delivery Requirement
Airfreight at Customer's Account
Airfreight at Esco Account
Combine with existing order/shipment
Courier at Customer's Account
Courier at Esco Account
Sea freight at Customer's Account
Sea freight at Esco Account
If a response from Esco is required to troubleshoot the problem, and parts are not immediately being requested, leave blank.If parts are available locally to resolve issue, please do not request for immediate shipment.
Courier Account No.
The limited warranty covers parts only and not transporation or insurance charges
SECTION 3: Problem Information
Model
* Product Category
Air Shower
Animal Research Workstation
Anti-Vibration Table
ART Workstation
Automated Nucleic Acid Extraction System
Class I Biological Safety Cabinet
Class II Biological Safety Cabinet
Class III Biological Safety Cabinet
Ceiling Laminar Airflow Unit
Cell Culture Media and Supplement
Cell Culture Monitoring System
Cell Harvesting System
Centrifuge
CO₂ Incubator
Culture Dish for In Vitro Fertilization (IVF)
Downflow Booth
Ducted Fume Hood
Ductless Fume Hood
Garment Storage Cabinet
Glassware Hood
Isolator
In Vitro Fertilization (IVF) Incubator
Laboratory Combination Refrigerator and Freezer
Laboratory Freezer
Laboratory Incubator
Laboratory Oven
Laboratory Refrigerator
Laminar Flow Cabinet
Macroporous Carrier
Microplate Shaker/Incubator
Orbital Shaker
Pass Box
PCR Cabinet
Restricted Access Barrier System
Sputum Booth
Time-Lapse Incubator
Ultra-low Temperature Freezer
Validation Equipment
Ventilated Balance Enclosure
Cytotoxic Cabinet
Sample Monitoring Software
Aseptic Isolators
Pipette
Liquid Nitrogen Biological Container
Mechanical Pipette
Electronic Pipette
Others
* Serial Number
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
-
* Date Unit Installed
event
* Problem Discovered
Distributor Incoming Receipt Inspection
On-Site After Installation
During Regular Operation. After Months / Years After Installation.
* Nature of Problem
Mechanical
Filtration
Electrical/Electronics
Packaging
Firmware
Transportation
Sensor
Fan/Motor
Others
* Type of Problem
Workmanship
Materials
Design
Fit & Finish
Others
* Describe the Problem
Provide as much information as possible, if possible including photo's, sketches, etc. More information assists Esco in making a better diagnosis, in order to resolve the problem as rapidly as possible.
* Attachment(s)
Important: Please provide attachment(s) of the defect item(s). Else, please click the box N/A. Upload only maximum of 10 attachments and should not exceed 10mb each.
Accepted file formats: png, jpeg, jpg, webp, svg, xls, xlsx, doc, docx, pdf
N/A
Additional Remarks
Replacement Part Request
Product Name/Item Code
Quantity
Actions
No available Parts
Provide as much detail - if possible provide actual item codes
Submit
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Warranty Policy
Product Appendix
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Defect Form Request