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Originating Date
*
Customer
*
Originating Order Number
*
Originating Project Number
*
Lead Installer Name
*
Lead Installer Email
*
Line Number
*
Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
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Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Salesperson
Coordinator
Project Manager
Client Contact Name
Type of Issue
Please select the type of issue
Internal – Something done wrong or damaged by OWP or its Subcontractor.
Quality – Defect caused by MFG and noticed at time of delivery/installation.
Transportation Visible – Damage noted on BOL at time of receipt.
Transportation Concealed – Damage NOT visible at time of receipt.
Warranty – Problem that occurs after customer takes possession of product.
Internal
Select the Internal Issue
Design
Sales
PM
Delivery
Service
Install
Warehouse
Network Dealer
3rd Party
Quality
Please Select One
Wrong Style
Wrong Finish
Missing (Innner Carton Shortage)
Overage
Finish Coverage
Laminate/Edgeband/Veneer
Finish Color
Standard Fabric
COM or Graded-In-Fabric
Glass/Plastic
Sharp Edges
Insufficient Packaging
Assembly Problems
Adjustability
Locking Function
Breaking/Coming Apart
Electrical Malfunction
Pneumatic Cylinder
Broken Welds
Transportation - Visible (For Transportation Visible Claims only: Issue reporter should be able to include copies of the signed BOL, Tracking / Pro# with the OI Form
Carrier / FB#
BOL
Select One
Dented
Racked
Scratched
Broken
Water Damage
Chipped
Torn
Crushed
Please Upload BOL
Transportation - Concealed
Select One
Dented
Racked
Scratched
Broken
Water Damage
Chipped
Torn
Crushed
Warranty
Please Select One
Assembly Problems
Adjustability
Locking Function
Breaking/Coming Apart
Electrical Malfunction
Pneumatic Cylinder
Broken Welds
Finish
Standard Fabric
COM or Graded-In-Fabric
Product/Comp. Failure
Foam Deterioration
Sound/Smell
Product Interaction
Details
Total Quantity
Description of Issue
Be Specific - We LOVE details!
Where was it discovered?
Warehouse Receiving
Staging/Assembly
Product Loading
On-Site
Re-install Location
Where on-site will product be installed?
Solution
Replace Service Parts
Replace Whole Item
Additional Labor
Repair
Current Product Location
Photos Taken?
Yes
No
Issue reporter must attach photos with OI Form
Upload Photo 1
Upload Photo 2
Upload Photo 3
For all transportation claims only
Cause of Damage
Rough Handling
Product Shifting
Inadequate Packaging
Caused by Packaging
Improperly Secured
Dropped
Piece Fell in Truck
Container/Truck Disprepair
Carton Type
Cartoned
Blanket Wrap
Shrink Wrap
Pallet
Plastic Bag
Wood Crated
Uncartoned
Bubblewrap