Warranty Claim Form
If you need to make a warranty claim, please complete the details below and email them to:
rggn@rothygroup.com
We’ll review your claim and get back to you with the next steps.

Your Details

• Full Name:

• Email Address:

• Order Number:

• Date of Purchase:

Product Details

• Product Name:

• Quantity:

• Serial Number (if applicable):

Issue Description
Please describe the fault or issue you’re experiencing. Include as much detail as possible so we can assess the claim quickly.

When Did the Issue Start?

• Date the issue first appeared:

• Has the issue been consistent or intermittent?

Troubleshooting (Optional)
If you’ve tried anything to resolve the issue, please list it here:
(e.g., restarted device, checked cables, updated software)

Photos or Videos (Optional but helpful)
If the product is faulty or damaged, please attach clear photos or a short video to your email.

What Happens Next
Once we receive your form, we’ll review your claim and contact you with the next steps.
Please do not send anything back until we confirm the return or replacement process.

Warranty Claim Form

Customer Details

Product Information

Issue Description

Troubleshooting Steps

Supporting Evidence

Next Steps