Service Request Form

Service Request Form

Please fill out the form below to request In or Out of warranty service for your Hitachi camera products. We will confirm receipt of your request via Email. A Ticket number will be assigned when you repair is received at our repair center. In-warranty products will be processed with pre-paid shipping one-way; you are responsible for the other. Loan requests are accepted for In-warranty or extended warranty contracts only. Package your product well to avoid shipping damage and always use a traceable shipping method until confirmation of the receipt of your camera product is communicated by us. Contact us via Email at or call our toll free number (855) 891-5179 during normal business hours.

The fields indicated with an asterisk (*) are required.

Contact Information

Company *

Address *
City *
State/Province *
Zip/Postal Code *
Country *
Name * First name *:
Middle Initial:
Last name *:
Email *
Company Phone *
Cell Phone *


Model *
Serial No. *
Dealer or Reseller *
Date of Purchase *
Check for In-warranty

Service Request

Symptom * Please provide us the symptom[s] for which you would like your product diagnosed or repaired.
Problem * Describe the problem experienced and your conclusion for the symptoms provided.
Operating Condition * Inform us of the equipment’s operating condition just prior and during the observation of the problem. Your accuracy will help us provide the most efficient and rapid service.
Loan Required * Yes   No