Return and Damage Claim Form Template

Template Series · 11

Return & Damage Claim Form

Return / Damage Claim

Operations Form

From

________________

To

________________

Date

________________

Version

1.0

01Claim Details

1.1. Order ReferenceRetailer / Account Name: ________________

Original Order Number: ________________

Invoice Number: ________________

Order Date: ________________ Delivery Date: ________________

1.2. Claim Type☐ Damaged in Transit ☐ Defective Product ☐ Wrong Item Shipped ☐ Shortage ☐ Other: ________________

02Affected Units

2.1. Item DetailSKU / Item: ________________ Units Claimed: ______ Wholesale Unit Price: $______ Total Claim Value: $______ Description of Issue: ________________

2.2. Evidence☐ Photos attached ☐ Carrier damage report attached ☐ Units being held for inspection ☐ Units already disposed

03Resolution Requested

3.1. Requested Outcome☐ Credit memo against next order ☐ Replacement units ☐ Refund ☐ Other: ________________

3.2. Return AuthorizationReturn of affected units: ☐ Required before resolution ☐ Not required, units may be destroyed or donated

Return Authorization Number (if applicable): ________________

Return Ship-To Address: ________________

04Brand Response (Internal Use)

4.1. Claim Reviewed ByReviewed by: ________________ Date: ________________

4.2. Decision☐ Approved in full ☐ Approved in part ☐ Declined

Approved Amount / Units: ________________

Resolution Method: ________________

Notes: ________________