Template Series · 11
Return & Damage Claim Form
Return / Damage Claim
Operations Form
Template Only · Requires Review
Include your return and damage claim policy in your Wholesale Terms & Conditions before using this form. Ensure photo evidence requirements and timelines are pre-agreed with your accounts.
01
Claim Details
1.1. Order Reference
Retailer / Account Name: ________________
Original Order Number: ________________
Invoice Number: ________________
Order Date: ________________ Delivery Date: ________________
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: ________________
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: ________________
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: ________________
Approved Amount / Units: ________________
Resolution Method: ________________
Notes: ________________
Authorized. Return Brand
Name · Title · Date
Acknowledged. Recipient
Name · Title · Date