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My Claims - Edmac
*
Required
Company name?
*
Customer number?
*
(Eg. SE12345)
Customer contact name?
*
First Name
Last Name
E-mail address?
*
example@example.com
Phone number?
*
Pick-up address
*
Street Address Line 2
City
State / Province
Postal / Zip Code
Street Address Line 2
Street Address
City
State / Province
Postal / Zip Code
City
*
Street Address
Street Address Line 2
State / Province
Postal / Zip Code
Postal / Zip Code
*
Street Address
Street Address Line 2
City
State / Province
State / Province
Street Address
Street Address Line 2
City
Postal / Zip Code
Country
*
Your reference? (PO number)
(Eg. PO number)
Edmac order number?
*
(Eg. SO123456)
Edmac shipment number?
(Eg. PS123456)
Intake Date
*
/
Day
/
Month
Year
Date
Claim reason
(Extra information needed in order to solve claim.)
Reason of claim
*
Wrong part received
Wrong quantity received
Quality issue / Part does not fit
Shipping
Damaged goods
Invoicing
Other
Reason for claim value
Received more/less goods than ordered
(Extra information needed in order to solve claim.)
Item information
*
Rows
Item number ordered
Quantity ordered
Quantity received
Item 1
Item 2
Item 3
Extra comments?
Upload files (images, PDF's, Word, Excel, ...)
Upload Files
Cancel
of
Please choose how you preferably would like to proceed
*
Credit Note
Replacement
Wrong part received
(Extra information needed in order to solve the claim)
Item information
*
Rows
Item number ordered
Quantity ordered
Item number received
Quantity received
Item 1
Item 2
Item 3
Extra comments?
Picture(s) of the part(s) received (including the labels in the box) is/are obligatory
*
Upload Files
Cancel
of
Please choose how you preferably would like to proceed
*
Credit Note
Replacement
Damaged goods
(Extra information needed in order to solve the claim)
Item information
*
Rows
Item number ordered
Quantity damaged
Item 1
Item 2
Item 3
Edmac shipment number
*
(Eg. PS123456)
Extra comments?
Picture(s) of the damaged part(s) received is/are obligatory
*
Upload Files
Cancel
of
Please choose how you preferably would like to proceed
*
Credit Note
Replacement
Quality issue / Part does not fit
(Extra information needed in order to solve the claim)
Item information
*
Rows
Item number ordered
Quantity ordered
Item 1
Item 2
Item 3
Extra comments?
Please describe the issue
Picture(s) of the part(s) received (including the labels in the box) is/are obligatory
*
Upload Files
Cancel
of
Please choose how you preferably would like to proceed
*
Credit Note
Replacement
Invoicing
(Extra information needed in order to solve the claim)
Select one of the reasons:
*
Wrong transport costs
Wrong discount/price applied
Wrong customer number used
Other
Invoice number
*
(Eg. IN123456)
Extra comments?
*
Upload files (images, PDF's, Word, Excel, ...)
Upload Files
Cancel
of
Please choose how you preferably would like to proceed
*
Credit Note
Replacement
Shipping
(Extra information needed in order to solve the claim)
Select one of the reasons:
*
Wrong shipping method
Wrong shipping address
Wrong shipment date
Other
Extra comments?
*
Upload files (images, PDF's, Word, Excel, ...)
Upload Files
Cancel
of
Please choose how you preferably would like to proceed
*
Credit Note
Replacement
Other
(Extra information needed in order to solve claim.)
Is the problem product related?
*
Yes
No
Item information
*
Rows
Item number ordered
Item 1
Item 2
Item 3
Extra comments?
*
Upload files (images, PDF's, Word, Excel, ...)
Upload Files
Cancel
of
Please choose how you preferably would like to proceed
*
Credit Note
Replacement
Please verify that you are human
*
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