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/img/item_title.jpg DynaVox Technologies Repair Request Form

If you are experiencing difficulty with your device we are here to help.  In order to repair your DynaVox or Impact device, DynaVox Technologies will need to provide you with a Repair Authorization (RA) number. 

  1. Obtain a Repair Authorization number from DynaVox Technologies. Technical Support team by completing this repair request form.
  2. Pack the device and charger in its original box with the appropriate packing materials.  If the original box is not available, pack the device in a sturdy box.  Be sure to surround the device with two to three inches of solid packing material.
  3. After completing this form, you will be contacted by email within one business day and sent a Repair Authorization (RA) number.  Write the Repair Authorization number clearly on the outside of the box.
  4. Address the package to:

    DynaVox Technologies
    2100 Wharton Street
    Suite 400
    Pittsburgh, PA 15203

  5. For your protection, we recommend using a shipping service such as UPS, FedEx, DHL or the US Postal Service that offers a tracking system to ship your device.  It is also a good idea to insure the package for the full purchase price. 

Note: Please do not ship your device to DynaVox without obtaining an Repair Authorization (RA) number first.  After completing this form, you will be contacted by email with a Repair Authorization (RA) number within one business day.

 

*Serial Number of the Device:
*Name of Device User:
Please describe exactly what is wrong with your device. Please provide as many specifics as possible, and any troubleshooting steps you have performed to remedy this issue.
Description of problem:


SHIP REPAIRED DEVICE TO:
*First Name:
*Last Name:
Company:
*Street:
*City:
*State:
*Zip Code:
*Phone Number:
*Email Address:


BILL TO:
*First Name:
*Last Name:
Company:
*Street:
*City:
*State:
*Zip Code:
*Phone Number:
*Email Address:

Choose a payment method:
Device is under warranty:
Credit card (Visa, Master Card, Discover):
Funding (Medicaid, Medicare, or Third party insurance):
Purchase Order:
PO#:

 
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