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Return & Damage Claim Form

Template Series · 11

Return & Damage Claim Form

Return / Damage Claim

Operations Form
From________________
To________________
Date________________
Version1.0
01
Claim Details
1.1. Order Reference
Retailer / 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: ________________
02
Affected Units
2.1. Item Detail
SKU / 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
Guidance
Require photo evidence for all claims above $100. Establish this as policy in your Wholesale T&Cs before it becomes a dispute. Claims without photos are nearly impossible to recover via carrier insurance.
03
Resolution Requested
3.1. Requested Outcome
☐ Credit memo against next order    ☐ Replacement units    ☐ Refund    ☐ Other: ________________
3.2. Return Authorization
Return of affected units: ☐ Required before resolution    ☐ Not required, units may be destroyed or donated

Return Authorization Number (if applicable): ________________

Return Ship-To Address: ________________
04
Brand Response (Internal Use)
4.1. Claim Reviewed By
Reviewed by: ________________    Date: ________________
4.2. Decision
☐ Approved in full    ☐ Approved in part    ☐ Declined

Approved Amount / Units: ________________

Resolution Method: ________________

Notes: ________________
Authorized. Return Brand
Name   ·   Title   ·   Date
Acknowledged. Recipient
Name   ·   Title   ·   Date
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