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.