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Customer Claim

Thermal Product - Customer Claim

Submit Claim Form

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Special Instructions Based on the claim type indicated above, you must:

By clicking this box and submitting your claim, you agree to the special instructions above provided based on your claim type.*

 
 
Company Name:*  Contact Person:* 
Customer Reference No:*  Phone:* 
PO Number:*  Email:* 
Sales Representative:      


 Credit Dollars Requested ($): 
 

Description of Problem

Describe issue:*   
In what part of the process did the problem occur:*   

Material Amounts*

Material Type # of defective rolls Roll Width (inches) Roll Length (feet) Roll Tag #

Supporting Information

 UPLOAD PHOTOS

 UPLOAD OTHER SUPPORTING INFO




Product Name
Customer Part #



By submitting your claim, you agree to Ricoh Electronics, Inc.’s Terms & Conditions.


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