Failure Report Form

Warranty Policy

All warranty service is subject to the terms of Five9NS Limited Hardware Warranty policy found at Warranty Policy.
Warranty term starts date of shipment.

Warranty status is determined by date of Five9NS’ acknowledged receipt of this form.

Warranty specifically excludes: software/firmware; 3rd party products; problems caused by accident, abuse, misuse, or by the installation of additional hardware/software.

Warranty is voided if product servicing is not performed by Five9NS or Five9NS trained and certified employees.

Customer Information

Company*: Date Opened*:

Address*:

Contact Name*: Email Address*:

FOR INTERNAL USE ONLY:

REPORT RECEIVED: DATE CLOSED:

WARRANTY STATUS (IN/OUT): CASE #: RMA #:

SIGNATURE: DATE:

System Serial Number

Part Description (if Applicable)

Part Serial Number (if Applicable)

Five9NS Part Number

Manufacturing Part Number

Purchase Order Number

Order Date

Send Authorized Returns To:

Five9 Network Systems, LLC

Attn: Justin Kozlowsky

300 Main Street

Suite 12A

East Rochester, NY 14445

*Please include a copy of this completed form with each shipment

*Shipments received without an RMA number will be refused.

Email us at support@five9network.com for a copy of this form.

Problem Description

Cause of the issue:

Date that the problem was observed:

System type: Engineering Qualification Production

What error messages were displayed?

Current BIOS version:

Was the system fully functional prior to BIOS upgrade? Yes No

What attempts were made to solve the issue?

What tests were performed to diagnose the issue?

Were all internal connections properly connected? Yes No

Does the system have up to date firmware or patches? Yes No

Was there visible damage?(if yes, please reply to confirmation email with photos attached) Yes No

Were any parts added or changed prior to failure?

Please list any other details you feel are necessary: Please list any other details you feel are necessary:

I confirm that I have read and agree to the Five9 Network Solutions Warranty Policy.