Commercial complaint

Delivery complaint (incorrect quantity and/or article)

Please fill in one form per delivery note/invoice.

1. Company and contact details

Company

Customer no.

Contact person

Claim no. customer

Phone

Delivery date

E-mail

Order or delivery note no.

2. Details of delivery / product

Pos. no. Quantity Mat. no. Designation

Article ordered

Pos. no.

Quantity

Mat. no.

Designation

Article delivered

Quantity

Mat. no.

Designation

Quantity claimed

Quantity

Mat. no.

Designation

Return of goods

Yes

No

Remove

Add more articles

Your claim

Please select Replacement delivery Credit/debit note For information only

Remarks

Verification code:

24c7e

Please fill in at least the mandatory fields marked with *.

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