FA Request Form-Quality-Union Semiconductor

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Union Semiconductor, Inc. Tel: +1-415-828-9597
E-mail:sales@union-ic.com

Union Semiconductor (HK) Ltd. Tel:(852)22107006
Fax:(852)83431122
E-mail:sales@union-ic.com

Union Semiconductor (Shanghai) Ltd. Tel:(86)21-51093966
Fax:(86)21-51026018
E-mail:sales@union-ic.com

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FA Request Form

Prior to submitting devices for Failure Analysis, please contact Union Semi Customer Operations for a Return Material Authorization (RMA) Number.

TO:		DATE:
FROM:		RMA#:	(to be completed by Union Semi)
In order to expedite completion of Failure Analysis, please complete the remainder of this form.
CUSTOMER:		DISTRIBUTOR:
CONTACT:		CONTACT:
PHONE:		PHONE:
FAX:		FAX:
E-MAIL:		E-MAIL:
CUSTOMER ADDRESS FOR RESPONSE:
Please provide as much of the requested information below as possible and attach additional sheets if necessary.
UNION PART NUMBER:		UNIT PRICE (in USD):	$
CUSTOMER REF. NUMBER:		BACKMARK:
TOP MARK(S):	Line 1: Line 2: Line 3:	BACKMARK:
ANNUAL VOLUME USAGE:		% FAILING (REQUIRED):
LOT CODE: (from reel or box label)		PURCHASE ORDER #:
BATCH #:		UNION SEMI SALES ORDER #:

NUMBER OF DEVICES RETURNED FOR ANALYSIS (NO MORE THAN 10 UNITS): NEW DESIGN OR PRODUCT IN USE FOR MONTHS /YEARS (CHECK ONE) POINT OF FAILURE – check those that apply below (REQUIRED):
- RELIABILITY/QUALIFICATION	Yes No
- INCOMING TEST?	Yes No
- VISUAL?	Yes No
- ELECTRICAL?	Yes No
- PRODUCT TEST?	Yes No
- DURING BURN-IN?	Yes No After hours of operation
- 0 hour / 0 km FAILURE?	Yes No
- IN FIELD USE?	Yes No After hours or after miles or km of operation (check one)

Please describe the observed failure in the space below and include supply voltage(s) and operating conditions.