Skip to form
Returns Claim
Wholesaler/Distributor INFO:
Wholesaler/Distributor Name
*
First name
*
Last name
*
Phone number
*
Email
*
PRODUCT INFO:
Part #
*
Quantity
*
Item Description
*
Invoice/PO #
*
Invoice/PO # in which the part was purchased on
Debit Memo
*
Reason for Return
*
ADDITIONAL RETURNS (
must be within same PO
)
Additional Parts & Qty
List all additional parts and qty.
They must be all listed under the same Invoice/PO# indicated above.
Return Freight is to be paid by wholesaler and a 25% restocking fee is assessed for returned items. All products returned for credit are subject to final inspection by Viessmann Manufacturing .
File upload
Submit