Declaration of Decontamination.
In order to protect our employees and to fulfill the statutory regulations please fill out the declaration of decontamination
completely. Attach it to the outside of the packaging so that it is easily visible. We can only offer rapid and reliable service
if we receive this declaration of decontamination rapidly and completely filled out.
Information about the sender:
Invoice address:
Company:
Contact person:
Street:
ZIP code, City:
Phone:
Fax:
E-mail:
Your reference/order:
Shipping address from KRAL  customer:
Company:
Contact person:
Street:
ZIP code, City:
Phone:
Fax:
E-mail:
Your reference/order:
Description:
Type:
Serial no.:
Defect description, Reason for returning the goods:
Desired return date after processing by KRAL AG:
Repair request:
Cost estimate
Link to Calibration:
Repair
Works calibration
Warranty validity check
Accredited calibration
Crediting
Condition:
Is the device used?
Which liquid has been used?
Was the device rinsed and is it free of dangerous materials?
Yes
continue with the "Operating data"
No
continue with the next point
Type of contamination:
Toxic
Explosive*
Radioactive*
Yes
Yes
Yes
No
No
No
Corrosive
Microbiological*
Other dangerous materials
Yes
Yes
Yes
No
No
No
* We do not accept any devices which have been subject to a radioactive, microbiological or explosive
contamination and which have not been decontaminated properly.
Operating data:
Temperature:
[° C]
Viscosity:
[mm²/s]
Pressure:
[bar]
Liquid:
Warnings for the medium:
Legally binding declaration:
We declare that we have completed the present declaration truthfully to the best of our knowledge.
Dispatching has been carried out in accordance with all the laws that apply for the packaging, dispatching and the
marking of dangerous substances. The sender is liable for any damage arising through non-identified decontaminations
of the returned object.
City, date
Dept.
Signature