Claim form

Delivery date *

Order number *

Where did the damage occur? *

How did the damage occur? *

Weight of the damaged product *

Purchase value of the damaged product (excl. VAT) *

Add files or photos proofing the purchase value here. Supported formats are: jpeg, jpg, png, pdf, xlsx and docx.

Description of the damage or defect *

Is recovery of the damage possible? *
YesNo

Repaircosts

Has the damage been noted on the consignment note? *
YesNo

Where is the article located for possible expertise

Street and number

Street and number 2nd line

City

Postal code

Who do you think is responsible and why? *

Costumer data

Name *

Adress *

Street and number

Street and number 2nd line

City

Postal code

Phone number *

Emailadress *

Add files (consignment note and photos of the damage). Supported formats are: jpeg, jpg, png, pdf, xlsx and docx. *

Have you filled in all data and checked for accuracy, and have all attachments been added? Then select the option "Submit" to submit the claim to us.