This form is to be used when returning a TiVo DVR or TiVo accessories purchased from tivo.com.

• In order to receive your credit, you must print out and complete this form in its entirety.
• You must include the completed form in the package with the item(s) you are returning.

TiVo will issue your credit within 10 business days of receiving the return, with this completed form included, at the address
listed below.

IMPORTANT: Please retain both your return for credit case number and the return shipment tracking number for your
records.

Ship your return with this form and the contents listed above to:

TiVo RMA Center,
13550 Independence Parkway
Suite 188
Fort Worth, TX 76177

Note: Please write the RMA number that was given to you by Customer Support on the outside of the shipping box. (TV-xxxxxx)