Return Authorization Request Form
Item Name *: Item Number *:
Customer Information
Requested By
Description
This product arrived damaged in shipping
Was the damage claimed with the shipper Yes No
Claim Number:  Claim Company:
This product was returned as customer damaged
Please describe the damage and why the return was accepted -
This product was returned as defective when opened or on use
Please describe the damage -
Upload Images
Images of damage items *-
Images of damage items *-
Images of damage items  -
Please be aware the form submission process, you will be asked to provide a minimum of two images that depict the defect or damage of the product. We request these images to save time, shipping costs, and to improve quality in the production process. If you do not have the images the form cannot be submitted.