This site has limited support for your browser. We recommend switching to Edge, Chrome, Safari, or Firefox.

Up to 25% Off Tourniquets, IFAKs Bandages & Stop the Bleed® Kits Back to School Sale Now Live SHOP

TacMed Simulation Repair Request Form

Please fill out all applicable fields. Once complete, select "Print to PDF" at the bottom of the form, save the document as a PDF, and email the completed form PDF back to customersupport@tacmedsolutions.com.

Customer Information

Organization:

Point of Contact:

Mr. Mrs. Ms.

Phone Number:

Email Address:

Military/Civilian Rank:

Shipping Instructions

Shipping Address:

Shipping Notes:

Product Information

Select the unit type of the relevant unit before continuing; the form will generate questions based on the unit type provided.

Unit Type: Serial Number:

Issue Details	Additional Information
Level 1 Issue: Level 2 Issue: Level 3 Issue:

Contact TacMed Simulation Support

First Name*

Last Name*

Email Address*

Phone Number*

Organization*

Item SKU*

Item Serial Number (e.g. HEMO-1234)

Reason

FSA/HSA cards accepted.

Cart0 items

TacMed Simulation Repair Request Form

Customer Information

Shipping Instructions

Product Information

Unit 1

Product Questions

Issue Reporting

Contact TacMed Simulation Support