Returned Product Form for Helix Traveling-Wave Tubes (TWTs) Quality System Documentation Proper Completion of This Form is Vitally Important to the Prompt and Efficient Handling of Product Warranty Claims. I. This claim form, properly completed, must accompany any returned Product and be received by CPI Microwave Power Products (MPP) prior to expiration of the adjustment period. Compliance with this requirement assures the user of the most prompt and thorough service possible. A Product returned within the adjustment period, but without the completed Returned Product Form, will be treated as out of warranty. II. Complete the following information regarding the Product being returned: A. Returned Material Authorization No.: (Call CPI/MPP Customer Service Department to obtain this number.) B. Product Type: CPI Part No.: Serial No.: Customer Part No.: C. Control Specification No.: Revision: Document of CPI (Check one) Dated: Document of your company D. Customer Purchase Order No.: Date of Purchase Order: III. Claim is made against warranty based on the following: A. Specifications(s) not met by the Product (list by specification and paragraph number): Establish New Returned Product Form for Helix TWTs Verify revision before use. MK 4022-3004 Rev. – ECO: MPP615204 Date: 2/1/16 Page 1 of 3 Returned Product Form for Helix Traveling-Wave Tubes (TWTs) Quality System Documentation B. Product Information Product Type *Product S/N Date Installed Date Failed Filament Hours Beam Hours *It is necessary to have the Product serial number rather than the system serial number C. Failure Description — Check Appropriate Box(es) Helix current (Iw) runaway - DC RF High helix current (Iw) - DC RF - Iw value - Frequency(s) Low power - Frequency(s) Oscillation - DC RF - Frequency - Voltage Over temperature/Temperature trip TWT will not turn on – surge current Gain out of specification - Frequency - Measured value High Voltage Arcing - Gun / Collector / W/G Down to air (DTA) Electrical issues not stated above Mechanical problem(s) - Other D. Describe the circumstances and/or sequence of events under which the Product failed as noted. Include remarks relating to installation problems, system anomalies, and so forth. MK 4022-3004 Rev. – ECO: MPP615204 Date: 2/1/16 Page 2 of 3 Returned Product Form for Helix Traveling-Wave Tubes (TWTs) Quality System Documentation IV. Purchaser’s Name: Address: Telephone: Claim made by: Name of person to contact for additional information: Telephone: (Signature) (Date) Return completed form with Product promptly to Communications & Power Industries LLC Microwave Power Products Division Building 2 Receiving 811 Hansen Way Palo Alto, CA 94303-0750 Attention: Returned Products/RMA #____________ Tel: Fax: E-mail: (650) 846-3900 (ask for MPP Customer Service Department) (650) 856-0705 [email protected] CAUTION DAMAGE CAN OCCUR IF COOLANT IS NOT REMOVED BEFORE PRODUCT SHIPMENT. MK 4022-3004 Rev. – ECO: MPP615204 Date: 2/1/16 Page 3 of 3