Claim and complaint form

Order information

* Compulsory, without this information the form cannot be sent.

ClaimComplaint

Material:*

Date:*

Invoice number and position:*

Product:*

Customer or company name:*

Customer or company adress:*

Claim information

Number of claimed sheets:*

Claim cause:*
(Describe the defect or problem with the material as
clearly as possible.Enclose a photo if possible)

Enclose picture:
(.gif, .jpg, .jpeg, .bmp, .png)

Enclose file
(no executables)

Site of inspection:
(Company / address /phone number)

Responsible for this report:*
Name and phone number

Contact person for further investigations:*
Name / phone number

Customer E-Mail address:*

Agent E-Mail address:*

captcha*

Please fill in the characters above.