Repair Form

Customer
Unique ID
Company
Address*
Street Address Address Line 2 ZIP / Postal Code City Country
VAT ID
Customer Number
PWA customer number of the client
Contact Person
Salutation*
Name*
First Last
Email*
Phone*
PWA order number*
Please contact us if you have not yet received an offer for your upgrade.
Reference / Order Number
Allows your billing department to correctly assign the invoice.
MAN order number*
We use the order number provided to enable your billing department to properly assign the invoice.
Billing Address
Address*
Company
Address*
Street Address Address Line 2 ZIP / Postal Code City Country
Contact Person
Salutation*
Name*
First Last
Email*
Phone*

Shipping
Please send in the device yourself and enclose the cover note created for you at the end of this form. In order to avoid any transport damage and later complaints, we ask you to package your device well and safely. PWA Electronic GmbH is not liable for transport damage. Please do not use packaging chips or crumpled newspaper. These are not safe packaging options.
Submission / Pickup
Shipping or pickup
- I send the device myself.
- I want my device to be collected.
In order to avoid any transport damage and later complaints, we ask you to package your device well and safely. PWA Electronic GmbH is not liable for transport damage. Please do not use packaging chips or crumpled newspaper. These are not safe packaging options.
Please note that there are extra costs for pickup if the repair is not covered by the warranty. Of course we will notify you by email before picking up your device.
Transport box available
- Transport box available
- Transport box is needed
In order to avoid any transport damage and later complaints, we ask you to package your device well and safely. PWA Electronic GmbH is not liable for transport damage. Please do not use packaging chips or crumpled newspaper. These are not safe packaging options.
Pickup
Address*
Company
Address
Street Address Address Line 2 ZIP / Postal Code City Country
Contact Person
Salutation*
Name*
First Last
Email
Phone
Return
Address*
Company
Address
Street Address Address Line 2 ZIP / Postal Code City Country
Contact Person
Salutation*
Name*
First Last
Email
Phone

Device Details
Sent in components
- MAN-cats® Service-Computer
- Vehicle Communication Interface (VCI)
- MAN-cats® Service-Computer and VCI
MAN-cats® Service Computer
Model number*
Model No. – Example: FZ-M1ABCDEFG
Serial Number*
Serial No. – Example: 9KTCA00345
Invoice number
Please add if available.
Vehicle Communication Interface (VCI)
Device / model number*
Serial Number*

Fault Description
Please note that references to service support desk (SSD) incidents can not be read by the repair company PWA Electronic.
Error Description*
Please provide an accurate description of problems and required repairs.
File Upload
Drop files here or
Accepted file types: jpg, png, pdf, doc, docx, xls, xlsx, txt.
Supported formats .jpg, .png, .pdf, .doc, .docx, .xls, .xlsx, .txt
The file size must not exceed 10MB.
Maximum 5 attachments.

Access Data
In order to be able to process your order immediately and without any further problems, we ask you to note the usernames and passwords. Your data is encrypted and, of course, kept strictly confidential. The deletion of the access data takes place in accordance with our privacy policy.
BIOS password*
- set
- empty / not set
BIOS password*
Confirmation*
- yes, the password has been removed / I have not set a password
User name*
Operating system password*
- set
- empty / not set
Operating system password*
Confirmation*
- yes, the password has been removed / I have not set a password
Further access data

Accessories
Accessories
- Device without accessories
- Device with accessories
Please do not attach any accessories (rechargeable battery, power pack, OVP, VCI, …) to the device if this is not directly related to the error or upgrade.
Enclosed accessories
Please enclose only problem-related accessories.

Panasonic Computer Service Germany / Austria

Step 1 of 7

Customer

Contact Person

Billing Address

Contact Person

Shipping

Submission / Pickup

Pickup

Contact Person

Return

Contact Person

Device Details

MAN-cats® Service Computer

Vehicle Communication Interface (VCI)

Fault Description

Access Data

Accessories

Binding Order

Details