AC Adapter Submission Form:

Customer Information

(Fields with red labels are required)

First Name:   Last Name:  
Company Name:
Street Address:  
City:       State/Province/Region:        Zipcode:  

AC Adapter Information

(Fields with red labels are required)

  • Company the ac adapter was purchased from:


  • Date the ac adapter was purchased:


  • Order/Case#:

  • Model of the Laptop the AC Adapter is being used with:


  • Model# of BTI AC Adapter:


  • Serial# of BTI AC Adapter:


  • Detail of problem & comments:


Additional Information

  • What color is the LED light when plugged in?   
  • How many tips did the adapter come with?   
  • What is the number or letter marked on the tip you are using?   
  • Does the adapter tip fit you laptop?

  • Does the adapter get hot when used?   
  • Is the adapter making any noise?   

Submit Request


If you are a vendor/dealer/distributor AND have a direct account with BTI, please fill out the RMA request form and email it to You can also fax it to 626-336-5657.