This form must be filled out before a drinker RMA is requested.

**Drinker Evaluations are usually completed within 10 business days of receipt of product at our bio-secure facility**

Required Dealer Info

Contact Name (required) Contact Number
Contact Email Grower name
Dealer name

Required Farm Info

Bird Type

Bird Age (weeks) Water Supply PSI Filter Micron size

Water Type WellCityGravity/Reservoir

Floor Conditions Sloppy/WetCakedDivots/PancakesDry/Dusty

Medications/Additives Used in water

Required Drinker information

Quantity (min. 6 drinkers per barn packed separately) Part Number Standpipe Height (inches) Order or Invoice # (required) Drinker Age*

Reason for return (select all that apply)
Low FlowHigh FlowIrregular FlowLeaking/DrippingNo FlowStickingActivation Force (high/low)High Early MortalityHigh Late Mortality

Additional comments:

Completed submissions will be reviewed and an RMA # assigned in 1-2 business days. Once you receive the RMA # from us, please follow the instructions to mail the drinkers into our bio-secure testing lab.
*Missing information will delay or prevent the issuing of an RMA #. We really need to know the drinker age, so please give us an invoice number or drinker age in the next box.
**Drinkers received without an RMA # will not be tested and may be discarded as per our Biosecurity Policy.