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

BIG SALE 20% LARGE KITS AND LITTERS 9/14 - 9/16 SHOP NOW

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