Damaged Product(s) Claim Form

Please Read

 

This claim form is for New/Unused Damaged Products. Please be sure you have the following information:

  • Photos of all 4 sides of the box
  • Photos of the damage
  • The BOL

Visible damage claims MUST be submitted within 10 days receipt, and the BOL must be signed as damage.

Concealed Damage MUST be submitted within 60 days of receipt of product. The box must not show any damage.

    **Please Note if you receive a shipment through UPS, USPS, FedEx, etc. and it arrives damaged, you will need to file a claim with the shipping company directly. 

      Damaged Products

      Distributor Information

      Company Address
      Company Address

      Claim Details

      I refused this shipment:
      Select One:
      This is:
      Is this within 60 days of receiving the item?
      Is this within 10 days of receiving the item AND noted on the BOL?
      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.

      Photo Uploads (Multiple images can be uploaded in each box.)

      Maximum file size: 268.44MB

      Maximum file size: 268.44MB

      Maximum file size: 268.44MB

      Maximum file size: 268.44MB

      Maximum file size: 268.44MB

      Maximum file size: 268.44MB

      Maximum file size: 268.44MB

      Maximum file size: 268.44MB

      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.