COMPLAINT FORM

1. SUPPLIER DETAILS

Choose (select one from the list below) *

2. DATA OF THE PERSON SUBMITTING THE COMPLAINT

Name and surname *

Company *

Adress *

Zip code *

City *

E-mail *

Phone *

CAUSE OF COMPLAINT

Provide the reason for the complaint *

Material not in conformity with the order
Quantitative discrepancy of delivered material
Material quality defect
Damage material during transport
Another type of complaint - what type?

SOURCE DOCUMENTS OF THE CLAIMED DELIVERY

Delivery note

Tracking number

Other

DESCRIPTION OF THE COMPLAINT (DETAILS)

Sale date *

Details of the subject of the complaint (plastic)

Name *

RAL Colour *

If the color was not specified, type: color not specified.

Production code *

Date of delivery / collection *

Quantity (amount) of reclaimed material *

Quantity used in production *

Photo 1

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Photo 1

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Photo 1

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PDF scan or JPG photo of a sales document *

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ADDITIONAL INFORMATION

Description of non-compliance *

PROCESSING PARAMETERS:

1. Temeprature settings (IMM)

2. Injection pressure

3. Melt (processing) temperature

4. Has the material been dried before processing?

5. Drying temperature

6. Drying time

6. Has a sample of the plastic been sent to the supplier for secondary testing?

Date of shipment

7. PREFERRED METHOD OF RESOLVING THE COMPLAINT

Replacement of defective material
Price adjustment
Return of plastics

COMPLAINT FORM

1. SUPPLIER DETAILS

2. DATA OF THE PERSON SUBMITTING THE COMPLAINT

CAUSE OF COMPLAINT

SOURCE DOCUMENTS OF THE CLAIMED DELIVERY

DESCRIPTION OF THE COMPLAINT (DETAILS)

Details of the subject of the complaint (plastic)

ADDITIONAL INFORMATION

PROCESSING PARAMETERS:

ADRESS

CONTACT

REGISTRATION DATA

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