Dead on Arrival (DOA) Approval Form
Report and request approval for products that arrived non-functional or defective.
Your Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Company or Organization Name (if applicable)
Product Model or Name
*
Product Serial Number
*
Order or Invoice Number
*
Date of Purchase
*
-
Month
-
Day
Year
Date
Date Product Was Received
*
-
Month
-
Day
Year
Date
Describe the issue with the product (please provide detailed information about the defect or problem noticed upon arrival)
*
Upload photos or supporting documents (e.g., images of the product, packaging, or defect)
Upload a File
Drag and drop files here
Choose a file
Cancel
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Has the product been used since arrival?
*
No, it was not used at all
Yes, briefly tested only
Yes, used for intended purpose
Other
Please provide any additional comments or information relevant to your DOA claim
Signature (please sign to confirm your declaration)
*
Submit DOA Request
Submit DOA Request
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