Please fill in the form completely and select if it is a warranty or a repair order.

Please select
Customer No.
Your Part No.*
Person responsible*
Your Claim No.
elobau Part No.
Your bill of delivery
Number of claimed parts*
It is possible to add a file for this complaint. Maximum file size is 3 MB.

Location of failure detection
Goods incoming control Prototype 0 kilometer
Assembly Line Failure on test Field parts
Function check Goods outgoing control

Electrical Problems
No Signal Signal decrease or increase Changed signal
Wrong output signal Infrequent signal
electrical overload

Mechanical Problem
Rough moving Not possible to assemble Components are missing
Not to move Leaky
Geometry not correct

Optical Problem
Scratches Colour
Wrong label No Label

Application Site
In a medium/liquid - Indoor/cabine Outdoors
Set out to dust Set out to moisture

Detail description
Failure at temperature? Yes No Temperature range
Have the input signals to the elobau product been measured? Yes No Value of the signals
Are signal-peaks possible (For example Power on/ Power off)? Yes No Value of the signals
Is the ESD-Protection (Electrostatic discharge) ensured over the whole process? Yes No
Have other components in the switching circuit been exchanged? Yes No Which components
Failure description - in the assembled condition
Failure description - testing as a single componente


The defective goods must be returned carriage paid!


elobau GmbH & Co. KG • Quality Department QMR • Unterer Auenweg 6 • D - 88299 Leutkirch • Germany

The claim form must be filled out completely. Missing informations will cause longer handling time or rejection of the claim.

For warranted claims we will charge the cost of part(s) only. Generally we will not accept mechanically damaged or electrically overloaded parts. Unless otherwise noted, rejected parts will be stored for 4 weeks upon date of investigation and scraped accordingly without further information.

Data security and the limitation of data collection are very important to us. Further information on this can be found in our data privacy policy

* I agree that elobau GmbH & Co.KG and the subsidiaries group may contact me by e-mail or telephone. This can be revoked at any time by sending an e-mail message to datenschutz@elobau.de. The data provided are electronically transmitted by elobau GmbH & Co KG or to its subsidiaries, stored in the internal e-mail system and processed for offers and consultation. While the data may be stored by the provider under certain circumstances, it is handled in compliance with data protection regulations and subsequently deleted. Furthermore, the data remains with elobau group and is not disclosed to third parties, unless the inquiry is made from without the countries in which the companies are located, and disclosing the data to one of our trading partners is required in order to process the inquiry. I am aware that this may be a country outside the EU. I agree to this by the submission of this form.

The data sent will only be processed for the purpose of processing your inquiry. The data will be deleted as soon as it is no longer required for its original purpose. You can withdraw your consent at any time without providing a reason at: datenschutz@elobau.de. There are no adverse consequences. You have a right to information, deletion and restriction of the processing of your personal data.

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