Complaint

Contact person

Salutation *

Title

First name

Last name *

Company *

Department

Phone *

E-mail *

Customer number *

Material references

Customer reference / customer ordering number

Delivery note number

(please provide, if available; starts with 36)

Batch number

(please provide, if available; calendar week/year/order number. Example: 20252396703)

Material number binder *

Customer material number

Reference quantity

Quantity claimed *

Retoure *

Yes

Regulation

Replacement

Credit note

We will contact you regarding the return. Please wait to return the item until you have received confirmation of receipt from us.

Warning notice for medical devices:
If the parts have been used for medical purposes, please send us a disinfection certificate before shipping and label the products accordingly. Without this documentation, we will unfortunately have to refuse the shipment.

Problem description

What is the problem? *

How and where was the problem detected? *

Has the part already been used? *

Yes

Area of use / application

Which function was not fulfilled?

Further comments / information

8D report requested? *

Yes

Image uploads

Image upload 1

Image upload 2

Image upload 3

Upload another image

If you have any questions, please always include the reference number you received with our confirmation of receipt in the subject line.
We apologise for any inconvenience and will do our utmost to resolve your issue as quickly as possible.

Thank you for your understanding and cooperation.
Your binder complaints team

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