Your Global Automation Partner
Declaration of Decontamination Error description Status: July 2019
Before your order can be processed it is imperative that you fill out this Declaration of Decontamination in its entirety and sign it. Doing so is mandatory in accordance with legal regulations and serves to protect our employees and equipment. Delivery address
If you have any questions about product returns Tel. +49 208 4952-370 Email [email protected]
Link to the online form
Attach this document to the outside of the packaging in such a way that it is clearly legible and will remain dry!
City, zip code
Customer order/reference no.
Turck order no. (ZTU)
Turck RMA no.
End customer Desired report format
Support case no. (CRM) 8D
Rental device from
Location/environment for use Reason for the return (complaint, repair, service, incorrect quantity, rental device, etc.)
Warnings Regarding Ambient Conditions of the Product
Concentration During the process
Cleaning with Final cleaning with * Other: Please specify, e.g. explosive, oxidizing, harmful to the environment, biological hazard
The following safety precautions regarding residual liquids, rinsing agents and disposal must be followed (send safety data sheet in advance)
Fault Description/Further Information
Hans Turck GmbH & Co. KG | 45466 Mülheim an der Ruhr, Germany | T +49 208 4952-0 | F +49 208 4952-264 | [email protected]
I confirm that I have filled out this declaration in its entirety and truthfully, to the best of my knowledge. The returned parts have been thoroughly cleaned and are free from residues of hazardous substances. The parts therefore present no risk to third parties.