Claim form

Company name

Contact person

E-mail

Phone Number

Your reference
e.g. project, object or your complaint number
Serves for your internal assignment (homework) another option-tracking, documentation

Document Number
Please provide an order no. (8...) OR delivery note no. (81...) OR invoice no. (24....) for identification.

Claim reason
Transport damage (e.g. Packaging damage) Wrong Product (Decor, Finishes, Dimensional errors) Material damage
Colour / Sheen / Gloss difference Dirt/Scratches/Broken sheets Delamination Warping
Wrong labeling Wrong price Late delivery
Wrong quantity Order mistake Collection change

Claimed worth (including currency)
If different please specify

Return damaged goods?
Yes No

Sample of claim provided?
Yes No

Replacement necessary?
If replacement of the goods is required. (Triggers a chargeable order)
Yes No

Send a copy to my e-mail address
Yes