dynalab

Customer Complaint Form

Reason Codes
1. Incorrect item shipped 9. Customer ordered incorrectly 17. Invoicing error
2. Shipped short 10. Order entry error 18. Customer refused
3. Quoted price not applied 11. Over-shipment 19. Incorrect freight charged
4. Customer reducing inventory 12. Customer cancelled order 20. Freight claimed for return
5. Not satisfied with quality 13. No reason stated 21. Damaged during transit
6. Late delivery 14. Packaged incorrectly 22. Inconclusive
7. Duplicate shipment 15. Customer moved 23. Amount immaterial
8. Shipped to wrong location 16. Computer error  
(* : required information)
Return Authorization
Customer Complaint
Credit Authorization

 Date:
 Company Name:
 Customer Number:
 Contact Name:*  
 Title:
 Phone#:*   Fax#:
 Email:*
 Invoice#:  
 PO#:
 WO#:
 
 Comments:
 
 
Product Code
Qty
Description
Cost
Total