Skip to content

Damaged Product Claim Form

Please Note: Products that have been damaged during shipment must be reported within 10 business days from delivery.

Products that contain hidden damage must be reported within 60 days of delivery.

Damaged Products

Once you complete this form, a copy will be sent to you via email for your records.

Claim Details

I refused this shipment:
Enter N/A of not available (it should be located on the Delivery Receipt).
Select One:
I would like:

Product Information

Select “add” to include additional damaged products (must be from the same PO).
Ex. GB142, KBR42, G115, etc. Please do not enter a product number.
Add Remove

Photo Uploads

Maximum upload size: 268.44MB
Maximum upload size: 268.44MB
Maximum upload size: 268.44MB
Maximum upload size: 268.44MB
Maximum upload size: 268.44MB
Maximum upload size: 268.44MB
Maximum upload size: 268.44MB
Maximum upload size: 268.44MB

Distributor Information

Company Address
Company Address

Your Contact Information

Once your claim is submitted, you will receive an email with the claim #.
Name
Name
If anyone additional would like to be notified of claim status, enter their email address(es) here.

If you have any questions, please do not hesitate to contact us. Once we process your request, you will receive an email with a claim number.

Thank you!