First Name *

Last Name *

Email *

Order Number *

Date of Delivery

Carrier

Other Carrier *

Was The Box Damaged? *

Describe Damage

To successfully submit a claim, you must attach clear, unaltered photos of the following:

1. Outer shipping box (all sides)

2. Shipping label (clearly visible)

3. All packaging materials (foam, wrapping, etc.)

DO NOT write on or mark photos.

Photos with markings or writing may cause claim denial by the shipping carrier.

Photo of Box Damage *

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

temp-for-125581-file2-2_

Were Items Missing? *

What was missing? *

To successfully submit a claim, you must attach clear, unaltered photos of the following:

1. Outer shipping box (all sides)

2. Shipping label (clearly visible)

4. All packaging materials (foam, wrapping, etc.)

5. Photo showing everything received inside the box

DO NOT write on or mark photos.

If you'd like to label or describe something in a photo, include a separate note or description on this form or as an attached document.

Photos with markings or writing may cause claim denial by the shipping carrier.

Upload Photos Associated with Missing Item *

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

temp-for-125581-file2-3_

Were Items Damaged? *

What items were damaged?

To successfully submit a claim, you must attach clear, unaltered photos of the following:

1. Outer shipping box (all sides)

2. Shipping label (clearly visible)

3. Damaged Item(s)

4. All packaging materials (foam, wrapping, etc.)

5. Photo showing everything received inside the box

DO NOT write on or mark photos.

Photos with markings or writing may cause claim denial by the shipping carrier.

Photo of Damaged Items *

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

temp-for-125581-file2-4_

If you have any additional photos or documents you'd like to upload please do so here.

Attach Photos

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, PDF, or SVG.

temp-for-125581-file2-1_

I confirm the information is accurate and that no photos have been altered or marked on.

Signature *

Clear

Date

Thanks for submitting your claim

One of our colleagues will get back in touch with you soon!

Have a great day!

Thanks for submitting your claim

One of our colleagues will get back in touch with you soon!

Have a great day!

Otto Frei Damaged Shipment Claim Form

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Nur Ersatzspitze für Ez-Brenner

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