Ohaus Repair Center

Repair Form and Declaration of Decontamination

Complete a separate form for each product returned to Wingfield Scale Company. Failure to fully complete this form may result in repair delays, and equipment may be returned unrepaired at your expense.

When completed, you will be emailed a copy of your submission. Please print and use as packing slip when shipping scale. Call 1-800-522-9464 with any questions.

Ship scale to:
ATTN: Repairs
Wingfield Scale Company
2205 S. Holtzclaw Avenue
Chattanooga, TN 37404

Part 1: Repair Information:

Part 2: Declaration of Decontamination:

In order to ensure the adequate protection of our technicians, Wingfield Scale Company requires our customers to declare the types of substances that have been in contact with the product(s) you are returning for service/repair. As part of the service agreement, you are responsible for the decontamination of your product prior to shipping.

Part 3: Signature:

I, , certify that I am the equipment owner / I am authorized to act on behalf of the equipment owner, and have decontaminated the referenced unit and tested it for radiation level hazard and potential hazard(s) from bio-hazardous materials and/or chemicals.