Warranty Claim

First Name (Required)

Last Name (Required)

Phone (Required)

Email (Required)

PO Issuer Company (Required)

Microchip USA Sales Order # (Required)

Client Purchase Order #

Part Number(s) (Required)

Date Code(s) (Required)

Affected Quantity

Request Type (Required)

Credit Exchange Repair

Description of Issue (Required)

Applicable Evidence (Required) Accepted File types- PDF, JPEG

Drop files here or

select files

Max. file size: 100 MB. Please attach any supporting files such as reports, failure analyses, pictures, data, error notifications, etc.