Complaint Registration Form | DWK Life Sciences

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Complaint Registration Form

Personal details

Purchase Details

Complaint Details

Personal Details

orgid

* Required fields

retURL

Country

Name:

Your Company Name:

Contact Email For Response:

Contact Phone Number:

Company Address:

Please Categorize Your Role:

End User (Purchased directly from DWK)

End User (Purchased from Distributor)

Distributor

Please Define Where You Purchased The Item (Distributor Name)

Purchase Details

DWK Invoice Number (e.g. 321xxxx)

DWK Shipping Number / Bill of Lading (BOL) (e.g. 21xxxxx)

Customer Order Confirmation Number (e.g. 1000xxxx)

Customer PO Number (e.g. 1000xxxx)

Preferred Response

Replace Defective Product

Issue Credit Note

Rework Defective Product

Technical Advice

Improvement

Purchase Details

For end users who purchased products from distributors, there's no requirement to provide purchase details. Please proceed to the complaint details form directly.

Complaint Details

Customer Complaint ID (SCAR)

DWK Item Number

Defective Quantity

Received Quantity

Please describe shortly what happened or share any additional available information.

Please Categorize The Reason For This Complaint:

Product Issue

Order Issue (e.g. wrong item, no delivery, paperwork, lead time)

Shipping or Delivery Issue (e.g. transit damage, over or undershipped)

Financial Issue (e.g. incorrect invoice)

Samples Availability

Samples Available On Request

Samples Have Been Contaminated or Destroyed

Only Photos Available

No Samples Available

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