Returns

Name(Required)

First Last

Phone(Required)

Email(Required)

Enter Email Confirm Email

Purpose of this submission(Required)

Product Return/Exchange

Product Issue

Filter Evaluation

Other

Product description or product code

If applicable, please provide the product lot number(s)

Quantity

Did you purchase the product(s) directly from Nephros, or through a third party (e.g., distributor, reseller)?(Required)

Direct

Third Party

Unknown

If you selected “Third Party”, please provide the name of the company that purchased the product.(Required)

Are you the direct point of contact who can provide details on this return request?(Required)

No – Please provide the contact details for the person with the relevant information

Yes

Purchaser Name(Required)

First Last

Purchaser Email(Required)

Enter Email Confirm Email

Reason for return / exchange(Required)

Wrong Product Shipped

Wrong Quantity Shipped

Not Needed/Exchange

Received Expired Shelf Life/Product

Other

Purchase Order (PO) #

Additional Information

Associated PO # used to purchase from Nephros

Filter equipment / application (e.g. ice machine, sink, etc.)

Date of filter installation

Filter location within facility (e.g. patient room, hallway, cafeteria, etc.)

Date of filter removal (if applicable)

Product Issue(Required)

No or Low Flow

Leak/Crack

Bacteria Contamination

Damage to Sterile Packaging

Damage to Device Prior to Use

Other

Filter equipment / application (e.g. ice machine, sink, etc.)

Point of contact regarding installation(Required)

First Name Last Name

Point of contact phone number(Required)

Date of filter installation

Filter location within facility (e.g. patient room, hallway, cafeteria, etc.)

Date of issue identification(Required)

Date of filter removal (if applicable)

At the time of installation, was the filter primed?(Required)

Yes

No

Unknown

What is the current inlet pressure of the install location?

What is the current outlet pressure of the install location?

Has the low-flow issue appeared gradually or suddenly?(Required)

Gradually

Suddenly

Have you experienced a no- or low-flow issue at this install location before?

Yes

No

Have there been any recent changes to infrastructure, quality, or personnel relating to water management?

Please upload any photos or videos of the issue.

Max. file size: 50 MB.

Product equipment / application (e.g. ice machine, sink, etc.)(Required)

Point of contact regarding installation(Required)

First Name Last Name

Point of contact phone number(Required)

Date of product installation

Product location within facility (e.g. patient room, hallway, cafeteria, etc.)(Required)

Date of issue identification(Required)

Date of product removal (if applicable)

Please provide a brief description of the issue.(Required)

Has this type of issue happened before with Nephros products?(Required)

Yes

No

Unknown

If yes, was it at the same location?

Yes

No

Have there been any recent changes to infrastructure, quality, or personnel relating to water management?

Please upload any photos or videos of the issue.

Max. file size: 50 MB.

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FDA Cleared Water Filters

Legionella Filtration

Point-Of-Use for Bacterial Events

Ice Machine Audit

Klebsiella Pneumoniae

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FDA Cleared Water Filters

Legionella Filtration

Point-Of-Use for Bacterial Events

Ice Machine Audit

Klebsiella Pneumoniae

Returns

Return Inquiries

Product Return Form

Find More Support

Product Documentation

Education

Compliance Certificates

Want to know more?

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