Product Warranty Return / Replacement Request

NOTE: This form is ONLY for customer returns related to Philips Lighting Electronics products under the warranty period and for U.S. ship to locations (no Canadian or non-U.S. ship to locations). For warranty information on all other locations outside the U.S., refer to our main warranty page for specific warranty information.


If you are a distributor or agent and want to return good products or inoperable units, please call customer service at: 1-800-372-3331 and select option #2. THIS FORM CANNOT BE USED TO REQUEST THAT MATERIAL BE RETURNED FOR CREDIT TO YOUR CORPORATE ACCOUNT.


All requests will be processed within two (2) business days.
You will receive a confirmation email shortly after you submit your request.
Material Need: (must enter at least one product and quantity)
Catalog # * Quantity Defective * Product Failure Type *
Advance Reference Number (only if applicable, not required)
Installation or Job Information:
* Name of Installation
* City   * State
* Date of Installation
(mm/dd/yyyy) 		(approx. date if not known)
NOTE: Request may not process if date is not in correct format
(mm/dd/yyyy - ex. 04/08/2006)
* Reason(s) for return
(256 Characters Maximum)

Warranty Ship To Information: (U.S. locations ONLY.)
* Company Name
* Street Address
* City
* State
* ZIP (Format: 12345 or 12345-6789)
* Attention
* Phone

Contact Information:
* Name
* Company   * State
* Phone
* Email
* Confirm Email