Return Request Form

Return Request Form

Jefferson Ford Parts
Page 1 of this Parts Return Form must be included with your approved return.
* If this form does not accompany your return, this will result in processing delays.

Page 2 of this form is ONLY if your return is a used/fitted parts warranty claim and page 2 MUST also be completed and returned.
Please click here to review the Jefferson Ford Refund / Returns Policy and the Process.
I have read & understand the Jefferson Ford returns process on the website
Return Authorisation Number
Approved Return Reason Code (provided in authorisation)
Name

First NameLast Name
Date of Purchase

DayMonthYear
Date
Order ID:
Is this a request for refund?
If yes, please provide the reason for the refund?
Is this a request for replacement?
If yes, please provide the details of replacement part request
For damaged returns, please upload photos of the damaged item here.

Cancelof
Is this a request for warranty claim?
If yes, please click here to complete the Parts Warranty Claim Form.

Ford Part Number/s & Jefferson Ford invoice number/s you are returning: