Test Elliot Bruce Jun 27, 2025 33 Hardware Replacement Request Form Hardware Replacement Request Please complete the form to request a replacement for your Dell hardware. Full Name Email Address Manager Email Address Has Manager Approved this? Dell Service Tag of old device Help, Where is this? Company Please select a company... Aviagen (LTD) Aviagen (LTD) Aviagen UK (LTD) Aviagen East Africa (LTD) Aviagen France (SAS) Aviagen Hungary & Eastern Europe (KFT) Aviagen Italy (SRL) Aviagen EPI BV (EPI) Aviagen South Africa (PTY) Aviagen Spain (S.A.U.) Aviagen Sweden (AB) Aviagen Turkiye (ANA) Aviagen UK (LTD) Aviagen Northern Ireland (LTD) Aviagen USA (INC) Aviagen Central Aisia, Uzbekistan (CA LLC) Aviagen Saudi Arabia (LLC) Aviagen Turkeys UK (LTD) Aviagen Turkeys France (SAS) Aviagen Turkeys Le Sayec (SAS) Office Location / Site Delivery Address What hardware needs replacing? (select at least one) Dell Pro Laptop (Mid Tier) Dell Pro Premium Laptop (High Tier) Dell Rugged Tablet Dell Desktop Dell Monitor Docking Station Keyboard Mouse Combo Mouse Laptop Charger USB Adapter Webcam Power Tier (Optional) Low Medium High Urgency Rating Urgent (Immediate Replacement) Medium (Next Month) Low (Next Batch Purchase) Reason for Replacement / Fault Description and replacment jutification Submit Request