Request Repair Form

Please fill out the repair order form below and submit the form, You will generate the work order form.

Print 2 copies: one to keep for your records and one to be shipped with your equipment.

Please don’t ship any accessories:  memory cards, battery, chargers, bags or any other unless they are part of the problem.

For detailed directions for shipping & packing Click Here

Shipping Address:

Panasonic Repair Center.

1812 West Burbank Blvd Suite # 900
Burbank, Ca 91506

Name:
Company:
Address:
Apt./Suite:
City:
State (USA Only):
Zip:
Home Phone:
Work Phone:
Email:
Model Number:
Serial Number:
Please describe the problem you are experiencing: