AWS Product Complaint Form

PRODUCT COMPLAINT FORM

• Complaint Received From:

• Reported By:

• Date Reported:

  Date

• Product Safety Issue?

  Yes

  No

• Part Number:

• Description of Part:

• Photo of Part:

  Media

• DateCode:

• Issue Description:

• Photo of Issue:

  Media

• Product To be Returned?

  Yes

  No

• RMA Number:

• Response Due Back to Customer?

  Yes

  No

• Signature:

  Sign

• Date Submitted to HQ:

  Date