EQUIPMENT SERVICE

Schedule a Repair

Tell us about your equipment and the service you need. A Rutherford Supply equipment specialist will review your request and contact you to coordinate the next steps.

On-site and shop repair options are available.

SERVICE REQUEST

Repair Request Information

Complete the form below with as much information as possible. Fields marked with an asterisk are required.

Contact Information

Who should we contact about this repair request?

First Name Please enter your first name.

Last Name Please enter your last name.

Company / Organization Please enter your company or organization.

Email Address Please enter a valid email address.

Phone Number Please enter a phone number.

Preferred Contact Method Please select a contact method.

Equipment Information

Provide any identifying information available for the equipment.

Equipment Type Please enter the equipment type.

Manufacturer

Model Number

Serial Number

Company Asset Number

Repair Details

Describe the problem and the current condition of the equipment.

Operational Status Please select the equipment status.

When Did the Problem Begin?

Problem Description Please describe the equipment problem.

Previous Repair Attempts

Service Location

Tell us where the equipment is located and how you would prefer it to be serviced.

Service Preference Please select a service preference.

Equipment Pickup Needed

Street Address Please enter the equipment location.

City Please enter the city.

State Please select the state.

ZIP Code Please enter the ZIP code.

Facility Hours / Access Instructions

Scheduling and Additional Information

Let us know your preferred timing and anything else that may help our service team.

Preferred Service Date

Urgency Level Please select the urgency level.

Additional Comments

By submitting this request, you authorize Rutherford Supply to contact you regarding equipment service and scheduling.