{"id":6733,"date":"2024-10-16T12:37:12","date_gmt":"2024-10-16T10:37:12","guid":{"rendered":"https:\/\/plasmadiam.com\/formulaire-rma\/"},"modified":"2025-01-28T12:30:32","modified_gmt":"2025-01-28T11:30:32","slug":"formulaire-rma","status":"publish","type":"page","link":"https:\/\/plasmadiam.com\/fr\/services\/formulaire-rma\/","title":{"rendered":"Formulaire RMA"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6733\" class=\"elementor elementor-6733 elementor-90\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ad7b0b3 elementor-section-full_width elementor-section-height-min-height elementor-section-items-stretch elementor-section-content-middle elementor-section-height-default\" data-id=\"ad7b0b3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div data-dce-background-overlay-image-url=\"https:\/\/plasmadiam.com\/wp-content\/uploads\/2024\/10\/txtr-rma.svg\" class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a42f933\" data-id=\"a42f933\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-43492e6 elementor-widget elementor-widget-heading\" data-id=\"43492e6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Remplissez votre formulaire RMA<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8990bb0 elementor-widget elementor-widget-heading\" data-id=\"8990bb0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">D\u00e9claration de contamination - Formulaire HS2<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-43bf3ef animated-slow elementor-invisible elementor-widget elementor-widget-image\" data-id=\"43bf3ef\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;slideInLeft&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"8\" height=\"8\" src=\"https:\/\/plasmadiam.com\/wp-content\/uploads\/2024\/10\/square-white.svg\" class=\"attachment-large size-large wp-image-5372\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-99ea4ad elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"99ea4ad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6785393 elementor-widget elementor-widget-text-editor\" data-id=\"6785393\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Lisez et suivez la proc\u00e9dure HS2 avant de remplir cette d\u00e9claration. Cette d\u00e9claration ne peut \u00eatre remplie et sign\u00e9e que par du personnel autoris\u00e9 et qualifi\u00e9. Si vous avez besoin d&rsquo;aide pour remplir ce formulaire, veuillez contacter le service des ventes ou le service client\u00e8le de votre r\u00e9gion.  <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-8490f65\" data-id=\"8490f65\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8891259 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"8891259\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;step_type&quot;:&quot;progress_bar&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;dce_confirm_dialog_enabled&quot;:&quot;no&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"dce-conditions-js-error-notice elementor-message elementor-message-danger\" style=\"display: none;\">A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator.<\/div>\t\t\t<script>\n\t\t\tsetTimeout(function() {\n\t\t\t\tlet el = document.querySelector(\".dce-conditions-js-error-notice\");\n\t\t\t\tif (el)\n\t\t\t\t\tel.style.display = \"block\";\n\t\t\t}, 6000);\n\t\t\t<\/script>\t\t<form class=\"elementor-form\" method=\"post\" name=\"New Form\" aria-label=\"New Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"6733\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"8891259\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Formulaire RMA\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"6733\"\/>\n\t\t\t\n\t\t\t<div data-field-conditions=\"[{&quot;id&quot;:&quot;field_4441529&quot;,&quot;condition&quot;:&quot;(question0 ==&#039;YES&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;field_85e947f&quot;,&quot;condition&quot;:&quot;(question0 ==&#039;NO&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;questionCE&quot;,&quot;condition&quot;:&quot;(question0 ==&#039;NO&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;field_d83e47e&quot;,&quot;condition&quot;:&quot;(questionCE ==&#039;YES&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;field_1524bf4&quot;,&quot;condition&quot;:&quot;(questionCE ==&#039;NO&#039;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;substance2&quot;,&quot;condition&quot;:&quot;(question2 == \\&quot;YES\\&quot;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;chemical2&quot;,&quot;condition&quot;:&quot;(question2 == \\&quot;YES\\&quot;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;precaution2&quot;,&quot;condition&quot;:&quot;(question2 == \\&quot;YES\\&quot;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;actions2&quot;,&quot;condition&quot;:&quot;(question2 == \\&quot;YES\\&quot;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;field_5b137c9&quot;,&quot;condition&quot;:&quot;(question2 == \\&quot;YES\\&quot;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;question3&quot;,&quot;condition&quot;:&quot;(question2 == \\&quot;YES\\&quot;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;substance3&quot;,&quot;condition&quot;:&quot;(question3 == \\&quot;YES\\&quot;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;chemical3&quot;,&quot;condition&quot;:&quot;(question3 == \\&quot;YES\\&quot;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;precaution3&quot;,&quot;condition&quot;:&quot;(question3 == \\&quot;YES\\&quot;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;actions3&quot;,&quot;condition&quot;:&quot;(question3 == \\&quot;YES\\&quot;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false}]\" data-submit-conditions=\"[{&quot;expression&quot;:&quot;(question0 ==&#039;NO&#039;)&quot;,&quot;hide&quot;:&quot;hide&quot;}]\" data-field-ids=\"[&quot;field_204b0ee&quot;,&quot;field_2bfebb4&quot;,&quot;productnamemanu&quot;,&quot;numbermanu&quot;,&quot;serial&quot;,&quot;field_088ff6a&quot;,&quot;field_722553a&quot;,&quot;toolnumber&quot;,&quot;oem&quot;,&quot;toolmodel&quot;,&quot;process&quot;,&quot;dateinstall&quot;,&quot;deinstalldate&quot;,&quot;partnumberreplace&quot;,&quot;serialreplace&quot;,&quot;field_8e2d16c&quot;,&quot;field_8bcd559&quot;,&quot;question0&quot;,&quot;field_4441529&quot;,&quot;field_85e947f&quot;,&quot;questionCE&quot;,&quot;field_d83e47e&quot;,&quot;field_1524bf4&quot;,&quot;field_2117aba&quot;,&quot;field_6807a5a&quot;,&quot;substance&quot;,&quot;chemical&quot;,&quot;precaution&quot;,&quot;actions&quot;,&quot;field_c45966b&quot;,&quot;question2&quot;,&quot;substance2&quot;,&quot;chemical2&quot;,&quot;precaution2&quot;,&quot;actions2&quot;,&quot;field_5b137c9&quot;,&quot;question3&quot;,&quot;substance3&quot;,&quot;chemical3&quot;,&quot;precaution3&quot;,&quot;actions3&quot;,&quot;field_598312b&quot;,&quot;field_6acb7dd&quot;,&quot;reason&quot;,&quot;hours&quot;,&quot;field_d3690f5&quot;,&quot;field_1128040&quot;,&quot;name&quot;,&quot;jobtitle&quot;,&quot;organisation&quot;,&quot;address&quot;,&quot;telephone&quot;,&quot;email&quot;,&quot;dateequipment&quot;,&quot;field_f11034f&quot;,&quot;field_061dd67&quot;,&quot;field_38e7982&quot;,&quot;signature&quot;,&quot;firmdate&quot;]\" class=\"elementor-form-fields-wrapper elementor-labels-\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_204b0ee elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Step 1\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_2bfebb4 elementor-col-100\">\n\t\t\t\t\t<span style=\"color:#212133; font-size:26px; font-weight:500; font-family:Articulat CF;\">Equipment<\/span>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-productnamemanu elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-productnamemanu\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tManufacturer's Product Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[productnamemanu]\" id=\"form-field-productnamemanu\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Manufacturer&#039;s Product Name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-numbermanu elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-numbermanu\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tManufacturer's Part Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[numbermanu]\" id=\"form-field-numbermanu\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Manufacturer&#039;s Part Number\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-serial elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-serial\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tManufacturer's Serial Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[serial]\" id=\"form-field-serial\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Manufacturer&#039;s Serial Number\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_088ff6a elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Step 2\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_722553a elementor-col-100\">\n\t\t\t\t\t<span style=\"color:#212133; font-size:26px; font-weight:500; font-family:Articulat CF;\">If applicable<\/span>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-toolnumber elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-toolnumber\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tTool Identification Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[toolnumber]\" id=\"form-field-toolnumber\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tool Identification Number\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-oem elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-oem\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tTool Manufacturer\/OEM\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[oem]\" id=\"form-field-oem\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tool Manufacturer\/OEM\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-toolmodel elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-toolmodel\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tTool Model\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[toolmodel]\" id=\"form-field-toolmodel\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tool Model\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-process elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-process\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tProcess\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[process]\" id=\"form-field-process\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Process\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-dateinstall elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-dateinstall\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tInstalled Date\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[dateinstall]\" id=\"form-field-dateinstall\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Installed Date\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-deinstalldate elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-deinstalldate\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tDe-installed Date\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[deinstalldate]\" id=\"form-field-deinstalldate\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"De-installed Date\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-partnumberreplace elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-partnumberreplace\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPart Number of Replacement Equipment\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[partnumberreplace]\" id=\"form-field-partnumberreplace\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Part Number of Replacement Equipment\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-serialreplace elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-serialreplace\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tSerial Number of Replacement Equipment\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[serialreplace]\" id=\"form-field-serialreplace\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Serial Number of Replacement Equipment\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_8e2d16c elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Step 3\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_8bcd559 elementor-col-100\">\n\t\t\t\t\t<span style=\"color:#212133; font-size:26px; font-weight:500; font-family:Articulat CF;\">Condition of equipment<\/span><\/br>\n\n\n<span style=\"color:#212133; font-size:15px; font-weight:500;font-family:Indivisible; \">We will not accept delivery of any equipment that is contaminated with radioactive substances, biological\/ infectious agents, mercury, PCB\u2019s, dioxins or sodium azide. Was your equipment infected by one of these substance ?<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-question0 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-question0\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tQuestion0\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"YES\" id=\"form-field-question0-0\" name=\"form_fields[question0]\" required=\"required\"> <label for=\"form-field-question0-0\">YES<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO\" id=\"form-field-question0-1\" name=\"form_fields[question0]\" required=\"required\"> <label for=\"form-field-question0-1\">NO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_4441529 elementor-col-100\">\n\t\t\t\t\t<span style=\"color:#C4103B; font-size:18px; font-weight:600; font-family:Indivisible;\">PLEASE STOP FILLING THE FORM AND CONTACT OUR TEAM AT INFO@PLASMADIAM<\/span>\n\n\n\n\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_85e947f elementor-col-100\">\n\t\t\t\t\t<span style=\"color:#212133; font-size:16px; font-weight:500; font-family:Articulat CF;\">Contamined equipment<\/span><\/br>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-questionCE elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-questionCE\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tQuestionCE\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"YES\" id=\"form-field-questionCE-0\" name=\"form_fields[questionCE]\" required=\"required\"> <label for=\"form-field-questionCE-0\">YES<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO\" id=\"form-field-questionCE-1\" name=\"form_fields[questionCE]\" required=\"required\"> <label for=\"form-field-questionCE-1\">NO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_d83e47e elementor-col-100\">\n\t\t\t\t\t<span style=\"color:#212133; font-size:14px; font-weight:500;font-family:Indivisible; \">Equipment has been used with any substances classified as hazardous under the UN Globally Harmonised System on the classification and labelling of chemicals (GHS), EU Regulation No 1272\/2008 on classification, labelling and packaging (CLP) or US Occupational Safety and Health regulations (29CFR1910.1200, Hazard Communication).<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_1524bf4 elementor-col-100\">\n\t\t\t\t\t<span style=\"color:#212133; font-size:14px; font-weight:500;font-family:Indivisible; \">Equipment has not been used, or if it has only been used with substances that are not hazardous. It may have been tested, but not connected to any process or production equipment, and only exposed to Nitrogen, Helium or Air.<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_2117aba elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Step 3\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_6807a5a elementor-col-100\">\n\t\t\t\t\t<span style=\"color:#212133; font-size:26px; font-weight:500; font-family:Articulat CF;\">Condition of equipment<\/span><br>\n\n<span style=\"color:#212133; font-size:16px; font-weight:500; font-family:Indivisible;\">What substance your equipment has been infected by ?<\/span>\n\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-substance elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-substance\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tSubstance\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[substance]\" id=\"form-field-substance\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Substance\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-chemical elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-chemical\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tChemical Symbol\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[chemical]\" id=\"form-field-chemical\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Chemical Symbol\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-precaution elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-precaution\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPrecautions required (for example, use protective gloves, etc.)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[precaution]\" id=\"form-field-precaution\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Precautions required (for example, use protective gloves, etc.)\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-actions elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-actions\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tAction required after a spill, leak or exposure\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[actions]\" id=\"form-field-actions\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Action required after a spill, leak or exposure\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_c45966b elementor-col-100\">\n\t\t\t\t\t<span style=\"color:#212133; font-size:16px; font-weight:500;font-family:Indivisible; \">More substance ?<\/span>\n\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-question2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-question2\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tQuestion 2\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"YES\" id=\"form-field-question2-0\" name=\"form_fields[question2]\"> <label for=\"form-field-question2-0\">YES<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO\" id=\"form-field-question2-1\" name=\"form_fields[question2]\"> <label for=\"form-field-question2-1\">NO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-substance2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-substance2\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tSubstance\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[substance2]\" id=\"form-field-substance2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Substance\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-chemical2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-chemical2\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tChemical Symbol\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[chemical2]\" id=\"form-field-chemical2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Chemical Symbol\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-precaution2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-precaution2\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPrecautions required (for example use protective gloves, etc.)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[precaution2]\" id=\"form-field-precaution2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Precautions required (for example use protective gloves, etc.)\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-actions2 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-actions2\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tAction required after a spill, leak or exposure\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[actions2]\" id=\"form-field-actions2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Action required after a spill, leak or exposure\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_5b137c9 elementor-col-100\">\n\t\t\t\t\t<span style=\"color:#212133; font-size:16px; font-weight:500;font-family:Indivisible; \">More substance ?<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-question3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-question3\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tQuestion 3\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"YES\" id=\"form-field-question3-0\" name=\"form_fields[question3]\"> <label for=\"form-field-question3-0\">YES<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"NO\" id=\"form-field-question3-1\" name=\"form_fields[question3]\"> <label for=\"form-field-question3-1\">NO<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-substance3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-substance3\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tSubstance\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[substance3]\" id=\"form-field-substance3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Substance\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-chemical3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-chemical3\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tChemical Symbol\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[chemical3]\" id=\"form-field-chemical3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Chemical Symbol\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-precaution3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-precaution3\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPrecautions required (for example use protective gloves, etc.)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[precaution3]\" id=\"form-field-precaution3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Precautions required (for example use protective gloves, etc.)\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-actions3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-actions3\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tAction required after a spill, leak or exposure\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[actions3]\" id=\"form-field-actions3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Action required after a spill, leak or exposure\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_598312b elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Step 4\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_6acb7dd elementor-col-100\">\n\t\t\t\t\t<span style=\"color:#212133; font-size:26px; font-weight:500; font-family:Articulat CF;\">Return information<\/span>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-reason elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-reason\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tReason for return and symptoms of malfunction\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[reason]\" id=\"form-field-reason\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Reason for return and symptoms of malfunction\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-hours elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-hours\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tFor how many hours has the product run ?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[hours]\" id=\"form-field-hours\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"For how many hours has the product run ?\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_d3690f5 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Step 5\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_1128040 elementor-col-100\">\n\t\t\t\t\t<span style=\"color:#212133; font-size:26px; font-weight:500; font-family:Articulat CF;\">Declaration<\/span>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-jobtitle elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-jobtitle\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tJob Title\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[jobtitle]\" id=\"form-field-jobtitle\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Job Title\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-organisation elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-organisation\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tOrganisation\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[organisation]\" id=\"form-field-organisation\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Organisation\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-address elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-address\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tAddress\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[address]\" id=\"form-field-address\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Address\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-telephone elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-telephone\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tTelephone number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[telephone]\" id=\"form-field-telephone\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Telephone number\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-dateequipment elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-dateequipment\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tDate of equipment delivery\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[dateequipment]\" id=\"form-field-dateequipment\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Date of equipment delivery\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_f11034f elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Step 6\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"&lt;svg class=&quot;e-font-icon-svg e-fas-star&quot; viewBox=&quot;0 0 576 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M259.3 17.8L194 150.2 47.9 171.5c-26.2 3.8-36.7 36.1-17.7 54.6l105.7 103-25 145.5c-4.5 26.3 23.2 46 46.4 33.7L288 439.6l130.7 68.7c23.2 12.2 50.9-7.4 46.4-33.7l-25-145.5 105.7-103c19-18.5 8.5-50.8-17.7-54.6L382 150.2 316.7 17.8c-11.7-23.6-45.6-23.9-57.4 0z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_061dd67 elementor-col-100\">\n\t\t\t\t\t<span style=\"color:#212133; font-size:26px; font-weight:500; font-family:Articulat CF;\">Signature<\/span>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_38e7982 elementor-col-100\">\n\t\t\t\t\tI have made reasonable enquiry and I have supplied accurate information in this Declaration. <\/br>I have not withheld any information, and I have followed the  Procedure HS2. \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-dce_form_signature elementor-field-group elementor-column elementor-field-group-signature elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-signature\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tSignature\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div style=\"width: 100%; display: block;\">\n\t\t\t<div class=\"dce-signature-wrapper\" style=\"width: var(--canvas-width); min-width: 200px;\">\n\t\t\t\t<div style=\"position: relative; display: inline-block; width: 100%;\">\n\t\t\t\t\t<button type=\"button\"\n\t\t\t\t\t\t\tclass=\"dce-signature-button-clear\"\n\t\t\t\t\t\t\tdata-action=\"clear\"\n\t\t\t\t\t\t\tstyle=\"position: absolute; top: 0; right: 0; z-index: 10;\">\n\t\t\t\t\t\t<svg class=\"e-font-icon-svg e-eicon-close\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M742 167L500 408 258 167C246 154 233 150 217 150 196 150 179 158 167 167 154 179 150 196 150 212 150 229 154 242 171 254L408 500 167 742C138 771 138 800 167 829 196 858 225 858 254 829L496 587 738 829C750 842 767 846 783 846 800 846 817 842 829 829 842 817 846 804 846 783 846 767 842 750 829 737L588 500 833 258C863 229 863 200 833 171 804 137 775 137 742 167Z\"><\/path><\/svg>\t\t\t\t\t<\/button>\n\t\t\t\t\t<input type=\"dce_form_signature\" name=\"form_fields[signature]\" id=\"form-field-signature\" class=\"elementor-field elementor-size-sm \" required=\"required\" style=\"width: 0; height: 0; opacity: 0; position: absolute; pointer-events: none;\">\n\t\t\t\t\t<canvas class=\"dce-signature-canvas\" data-pen-color=\"#000000\" data-background-color=\"#ffffff\" data-jpeg=\"\" data-aspect-ratio=\"2\" width=\"1\" height=\"1\" style=\"width: 100%; height: calc(100% \/ 2); border-style: solid; touch-action: none; user-select: none;\"><\/canvas>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-firmdate elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-firmdate\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tDate\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[firmdate]\" id=\"form-field-firmdate\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Date\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Send<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Remplissez votre formulaire RMA D\u00e9claration de contamination &#8211; Formulaire HS2 Lisez et suivez la proc\u00e9dure HS2 avant de remplir cette d\u00e9claration. Cette d\u00e9claration ne peut \u00eatre remplie et sign\u00e9e que par du personnel autoris\u00e9 et qualifi\u00e9. Si vous avez besoin d&rsquo;aide pour remplir ce formulaire, veuillez contacter le service des ventes ou le service client\u00e8le [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":6751,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-6733","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/plasmadiam.com\/fr\/wp-json\/wp\/v2\/pages\/6733","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plasmadiam.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/plasmadiam.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/plasmadiam.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/plasmadiam.com\/fr\/wp-json\/wp\/v2\/comments?post=6733"}],"version-history":[{"count":0,"href":"https:\/\/plasmadiam.com\/fr\/wp-json\/wp\/v2\/pages\/6733\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/plasmadiam.com\/fr\/wp-json\/wp\/v2\/pages\/6751"}],"wp:attachment":[{"href":"https:\/\/plasmadiam.com\/fr\/wp-json\/wp\/v2\/media?parent=6733"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}