Return Goods Authorization (RGA) Form Return Goods Authorization (RGA) Step 1 of 3 33% Type of ReturnType of Return* Overstock/Good Product Wrong Product Warranty/Defective Contact InformationName* First Last Account Name* Account #* Email* Enter Email Confirm Email Email2 Enter Email address if different from above Confirm Email Email3 Enter Email address if different from above Confirm Email Phone*FaxAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Order InformationYour PO Number(s)*(Enter each PO Number on a separate line)NICOR Invoice Number Overstock/Good ProductAll Return Goods is subject to 35% restocking fee.Good Product Stock Product # Quantity Reason Additional Comments Actions Edit Delete There are no Products. Add Product Maximum number of products reached. Wrong ProductIf the product needs to be re-ordered, you must contact the Sales Team at NICOR. Wrong Product Product # Quantity Issue Additional Comments Actions Edit Delete There are no Products. Add Product Maximum number of products reached. Warranty/DefectiveAll defectives will be tested before credit is given, within 30 days. Claim may be denied without proper information.Warranty/Defective Return NICOR Part # Defective Quantity Problem Dimmer Additional Comments Location of Install Length of time installed Usage Actions Edit Delete There are no Products. Add Product Maximum number of products reached. Δ