Complaint

Please fill out the form below so that we can process your complaint as soon as possible.

Customer Complaints

Complaint form

recorded by

Company

Date

Customer

Company*

Customer number

Address

Title

Name*

Firstname

Contact data*

Phone*

claim reference

Claim

manufacturer

invoice no.

ID-no. of article

function in application

Production / order no.

order confirmation

quantitiy claimed

quantity delivered

quantity returned

select place of non conformity

Please give detailled information describing what is non conforming; Give information for non conformity and components in cooperation.

Detailed description of claim

customer

needs a report in

Component 1

Component

ID-no. of article

quantity

Serail-no.

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Component 2

Component

ID-no. of article

quantity

Serial-no.

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Component 3

Component

ID-no. of article

quantity

Serial-no.

Add More Fields

Component 4

component

ID-no. of article

quantity

Serial-no.

Add More Fields

Component 5

Component

ID-no. of article

quantity

Serial-no.

Add More Fields

Component 6

component

ID-no. of article

quantity

Serial-no.

Add More Fields

Component 7

component

ID-no. of article

quantity

Serial-no.

Add More Fields

Component 8

component

ID-no. of article

quantity

Serail-no.

Add More Fields

Component 9

component

ID-no. of article

quantity

Serial-no.

Complaint form

picture / label

Critical errors (A)
Error that affects security.
Main error (B)
Functionality of the component severely limited; failure of functions necessary for operation
Secondary error (C)
Have no significant consequences or negligible impairment.

Weighting by PM Sales Division:

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