Missing Item Claim Form

If you believe that one or more items from your order are missing, you are required to complete this form in full, providing your details and responding to all questions. Please be advised that if an order is recorded as delivered, we have access to precise GPS delivery coordinates, and in many instances the courier also supplies a photographic record. In addition, we may contact the delivery personnel directly, many of whom now operate with body cameras to evidence the delivery location. This information is used to verify claims and to protect against fraudulent submissions.

Please note: Submitting false or misleading information may result in your claim being rejected, refusal of future orders, and/or further legal action.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Order Number

Items

Please tell us what item/s were missing from your order.

Was the package you received opened/damaged upon receipt?

If yes, was the delivery company made aware of the open package/damage upon delivery?

Did you receive any substitute items?

For example items your received that you did not order?

Further details

If you answered yes to any of the questions above, please provide us with further details. You can also write any further information which is relevant to your claim.

DECLARATION

• I understand by making a false statement could lead to prosecution. • I confirm this declaration is true and accurate in all aspects. • I wish to deny receipt of the missing item(s) from the above Order and confirm that I have checked with members of my household and/or neighbours who may have accepted the delivery • I understand by making a false claim could lead to prosecution. • I confirm that the information I have provided is accurate and that I agree to the Terms and Conditions.

I AGREE AND CONFIRM

PRINT NAME

Please type your full name.

Date

YYYY