Return for Credit Form

Reason for Return *

Invoice/Reference Number *

Part Number and Quantity *

Account Number *

Business Name *

Reported to *

Date part will be returned *

Is this a credit or cancellation request? *

Supplying Branch/DC *

Damage Description

B → Mirror BlockC → CrackE → Encapsulation / Mould DamageI → ImpactL → ShellM → Moisture / Light SensorS → ScratchedA → ADAS BracketD → DistortionG → Glass ContaminantsQ → Delamination

Zone Description

A1 → Top LeftA2 → Top MiddleA3 → Top RightB1 → Middle LeftB2 → MiddleB3 → Middle RightC1 → Bottom LeftC2 → Bottom MiddleC3 → Bottom Right

Severity Description

1 → Minor2 → Medium3 → Major

Decription

G1 → Customer Excess StockG2 → Incorrect Part SuppliedG3 → OversupplyG4 → UndersupplyG5 → Damaged in TransitG6 → Product Quality FaultG7 → Incorrect Part OrderedCANCEL ORDER

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Contact Details

Email *

Would you like a copy of this RFC form to be sent to another email address? I.E Your Head Office/Accounts Department.

Additional Information

Please print the email confirmation of your RFC form and include it when returning the screen

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