Customer Concern Form

Customer Concern Form
1. Your Details
DEALER NAME*
EMAIL
example@example.com
TEL.
CUSTOMER NUMBER
You find the Customer Number in the heading of the invoice.
COUNTRY
DATE

DayMonthYear
REGIONAL SALES MANAGER
2. Product Details
PART NUMBER*
INVOICE NUMBER*
Example: 23-VE000000
PART DESCRIPTION
ORDER NUMBER
Example: C23-0001234
HOW MANY PRODUCTS HAVE QUALITY ISSUES?*
HAS THE PRODUCT BEEN USED?*

YesNo
OF TOTAL QUANTITY DELIVERED/INSTALLED
Please, add the Serial Number
The Serial Number is the 9-digit code under the barcode as the following image shows:
Please, add a picture of the label

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3. Description of Concern
DESCRIBE YOUR CONCERN*

A. RETURN OF UNUSED PRODUCTB. WRONG PART DELIVEREDC. WRONG QUANTITY DELIVEREDD. DEFECTIVE PRODUCTE. DAMAGED PRODUCTF. INCORRECT PAPERWORKG. PACKAGING ISSUES
Please, add a picture of label & packaging

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PLEASE ENTER MORE DETAILS HERE*
4. Pictures/Videos are needed if concern B, C, D or E is selected at point 3 above

(In any case of a product quality failure please add several pictures of the product itself where the issue is visible and also several pictures of the environment where the product was installed picture of the full cluster, the milking place, the wash trays, the parking brackets and parking position of the cluster, etc.) – the more precise first-hand information we receive, the easier it will be to follow up.
UPLOAD YOUR PICTURES/VIDEOS HERE

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LASER CODE
For liner and tubing ranges only.
Additional quality questions

(Only for used defective products)
NUMBER OF MILKING COWS
NUMBER OF POINTS
NUMBER OF MILKINGS PER DAY
DATE PRODUCT WAS INSTALLED ON FARM*

DayMonthYear
5. Request
CREDIT TO ACCOUNTSEND REPLACEMENT
DELIVERY ADDRESS (IF DIFFERENT TO INVOICING ADDRESS)
Final action will be confirmed after having carried out our internal control
6. Returns

Please wait for the confirmation from your customer service representative before any effective return. They will inform in advance of any inspection cost and send official authorization as well as proper return address.
WILL ANY PARTS BE RETURNED?*

YESNO
IF YES, HOW MANY PARTS ARE RETURNED?
Should be Empty:

Customer Concern Form

1. Your Details

2. Product Details

3. Description of Concern

4. Pictures/Videos are needed if concern B, C, D or E is selected at point 3 above

Additional quality questions

5. Request

6. Returns