Claim form

Contact information
Your references
E.g. project, subject or number of your complaint for your internal tagging, tracking,...
Document number
Invoice, order confirmation, receipt report
Description of the problem

Reason for complaint

Description of problem
Product(s) and quantity complained about
Please provide the name and quantity of the product.
Value of the product complained about (including currency)
Proposed solution to the problem

Return of damaged goods?

Was a sample of the claimed material sent?

Is it necessary to replace the claimed product with a new one?

Insert attachment Attachments (max. total 10 MB)
Select a file File not selected
Select a file File not selected
Select a file File not selected
Select a file File not selected

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