Request Authentication Code

Register and request an authentication code

You need an authentication code to submit a repair request. If you already have a user- ID and authentication code, you may skip this step and click on the link to Logon to Request a Repair (RMA) .

To register for an authentication code, please fill out the short form below. We will email you a password and username to use each time you visit Online RMA (MySymbolCare).

* indicates required field

Request Authentication Code

Company Information:
Company Name: *
Address: *
City: *
State/County/Province: *
Country: *
Zip/Postal Code: *
Phone #: *
Fax #:

Billing Information:
Check here if the billing information is the same as the company information entered above.
Company Name: *
Address: *
City: *
State/County/Province: *
Country: *
Zip/Postal Code: *
Phone #: *

Entitlement Verification:
Service Contract #:
	OR
Site ID:
Optional: please provide your siteID or contract #, or leave blank if not available.

Your Information:
First Name: *
Last Name: *
E-mail Address: *
Re-Enter E-mail Address: *
Check here if the information below is the same as for the company.
Address: *
Phone #: *
Fax #:
By clicking submit, you agree to the MySymbolCare Terms and Conditions. To review the terms and conditions, click here .