Date*
Completed By*
Is this an Exchange, Store Credit or Scrapped in Field?* ExchangeStore CreditScrapped in Field
Please provide the Web ID*
Please provide the Job Costing No*
Please provide all associated serial number/s*
Customer Full Name*
Customer Email*
Customer Phone Number*
Product Info (Please include Model of the product)*
Product Code*
Description of fault*
Reason for return*
Return Via* CourierInternalExternalRetailer
Return Location*
All Job Numbers*
Parts Replaced*
Product Code of Replacement unit*
Is the Unit in stock?* YesNo
Who will be Completing Exchange?*
Delivery Address (Incl postcode and state)*
Photos Submitted* YesNo
OLS Claim Submitted*
Please attach Return Authorisation Approval sheet*
Please attach the invoice for the original unit*
*Indicates that the field is mandatory. Please ensure all fields are completed prior to submission.
