Return Authorization - TB&A Hospital Television

TB&A Pro Tech Services

For repair or replacement of equipment purchased through TB&A, please fill out and submit the return authorization form below.

We generally respond within 24 hours, and we may call you to facilitate the best solution for your product repair or return.

If you have any questions please call us at 1-800-288-7351.

Form Instructions: Complete the appropriate information and press the “Submit Return Authorization Form” button below when complete.

*Your name, phone and valid email address are required items on this form.

Purchase Information

Your Name (required)

Hospital or Organization

Your Email (required)

Your Phone (required)

Fax Number

Facility Address

City

State

Zip

Purchase Order Number (Used To Originally Purchase Product)

Shipping Address (If Different Than Facility)

Product Information

Brand Name

Model Number

Serial Number

Reason For Return

DamageDefectiveOther

Desired Outcome

RepairReplaceCreditOther

Description Of Product Issue

Upload Photos

If the problem is shipping damage, please send us the following five (5) photos:

Click on the file button and attach your photos (JPEG, GIF or PNG file).

Please note All Damaged TV’s must be reported within 30 days of receiving item.

Privacy Statement: We ensure your privacy. We will not sell or rent your name or any information you provide to us.