Concealed Damage Claim Form - Warehouse Distributors USA

Please fill this form out in its entirety and submit it to us along with all required photo documentation as well as a picture or scan of your signed BOL (Bill of Lading).
Failure to do so will lead to delays in the processing of your claim. We endeavor to have replacement parts leave our warehouse within 48 hours of receiving the above required information.

Please follow our mandatory receiving requirements which are included with every tracking number.

Contact name *

Company Name *

Email Address *

Sales Order Number *

Damaged Item #1 *

SKU of damaged item


Item #1 Picture 1 *
File:
(Attach a WIDE-ANGLE picture of damaged item)


Item #1 Picture 2 *
File:
(Attach a CLOSE-UP picture of damaged item)

Damaged Item #2

SKU of damaged item


Item #2 Picture 1
File:
(Attach a WIDE-ANGLE picture of damaged item)


Item #2 Picture 2
File:
(Attach a CLOSE-UP picture of damaged item)

Damaged Item #3

SKU of damaged item


Item #3 Picture 1
File:
(Attach a WIDE-ANGLE picture of damaged item)


Item #3 Picture 2
File:
(Attach a CLOSE-UP picture of damaged item)

Damaged Item #4

SKU of damaged item


Item #4 Picture 1
File:
(Attach a WIDE-ANGLE picture of damaged item)


Item #4 Picture 2
File:
(Attach a CLOSE-UP picture of damaged item)

Additional Comments



*Denotes required field