Return Authorization

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{company_phone_number}}

Email: {{company_email}}

Website: {{company_website}}

Return Authorization Request

RA Number: {{ra_number}}

Date of Issue: {{issue_date}}

Customer Name: {{customer_name}}

Customer Address: {{customer_address}}

Customer Phone: {{customer_phone}}

Customer Email: {{customer_email}}

Original Purchase Details

Original Order/Invoice Number: {{original_order_number}}

Original Purchase Date: {{original_purchase_date}}

Items to be Returned

Please list all items approved for return:

| Item Number | Product Description | Quantity | Unit Price | Reason for Return |

|-------------|---------------------|----------|------------|-------------------|

| {{item_1_number}} | {{item_1_description}} | {{item_1_quantity}} | {{item_1_unit_price}} | {{item_1_reason}} |

| {{item_2_number}} | {{item_2_description}} | {{item_2_quantity}} | {{item_2_unit_price}} | {{item_2_reason}} |

| {{item_3_number}} | {{item_3_description}} | {{item_3_quantity}} | {{item_3_unit_price}} | {{item_3_reason}} |

Reason for Return (Overall)

{{overall_reason_for_return}}

Return Conditions and Instructions

1. All returned items must be in their original packaging, unused, and in saleable condition.

2. This Return Authorization (RA) number must be clearly marked on the outside of the return package.

3. Please include a copy of this form inside the return package.

4. Returns must be shipped to the following address: {{return_shipping_address}}

5. Returns must be received by {{return_by_date}}.

6. {{company_name}} reserves the right to refuse returns that do not meet the specified conditions.

7. Any damages incurred during shipping of the returned item(s) are the responsibility of the customer.

8. For items returned due to manufacturing defects or incorrect shipment by {{company_name}}, return shipping costs will be covered by {{company_name}}. Otherwise, return shipping costs are the responsibility of the customer.

Resolution

Upon successful inspection of the returned items, the following resolution will be processed:

Choose one:

[_] Full Refund Issued to Original Payment Method

[_] Store Credit Issued for Amount: {{store_credit_amount}}

[_] Exchange for: {{exchange_item_description}}

Authorized By

_______________________________

{{authorized_by_name}}

{{authorized_by_title}}

Date: {{authorization_date}}

Customer Acknowledgment (Optional)

I, {{customer_name}}, acknowledge that I have read and understood the return conditions and instructions outlined in this document.

Signature: _______________________________

Date: {{customer_acknowledgment_date}}