Return Authorization

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Return Authorization Request

Date: {{date}}

Return Authorization Number: {{rma_number}}

Customer Name: {{customer_name}}

Customer Address: {{customer_address}}

Customer Phone: {{customer_phone}}

Customer Email: {{customer_email}}

Original Invoice/Order Number: {{invoice_number}}

Original Purchase Date: {{purchase_date}}

Items to be Returned

Please list all items to be returned:

1. Item Name: {{item1_name}}, Quantity: {{item1_quantity}}, Reason for Return: {{item1_reason}}

2. Item Name: {{item2_name}}, Quantity: {{item2_quantity}}, Reason for Return: {{item2_reason}}

3. Item Name: {{item3_name}}, Quantity: {{item3_quantity}}, Reason for Return: {{item3_reason}}

Additional items can be listed on a separate sheet if necessary.

Reason for Return

Please select the primary reason for return:

☐ Defective Product

☐ Incorrect Item Shipped

☐ Damaged in Transit

☐ Not as Described

☐ Customer Remorse (e.g., changed mind)

☐ Other (please specify): {{other_reason}}

Desired Resolution

Please select your preferred resolution:

☐ Refund to Original Payment Method

☐ Store Credit

☐ Exchange for the Same Item

☐ Exchange for a Different Item (specify): {{exchange_item}}

☐ Repair

Condition of Returned Items

All returned items must be in their original packaging, unopened, and in re-saleable condition unless otherwise specified due to defect or damage. Any items that are not in the specified condition may be subject to a restocking fee or refusal of return. Please ensure all accessories, manuals, and original documentation are included.

Return Shipping Instructions

The customer is responsible for shipping costs associated with the return unless the return is due to a company error (e.g., defective product, incorrect item shipped). Please package items securely to prevent further damage during transit. Ship the items to:

{{company_returns_address}}

For your protection, we recommend using a trackable shipping method and purchasing shipping insurance for valuable items. Please include a copy of this Return Authorization form with your returned package.

Authorization and Acknowledgment

By signing below, the customer acknowledges that they have read and understood the terms and conditions of this Return Authorization.

Customer Signature: _________________________ Date: {{customer_signature_date}}

Authorized by (Company Representative): _________________________ Date: {{authorized_signature_date}}

Company Representative Name: {{company_representative_name}}

Title: {{company_representative_title}}

Terms and Conditions

Returns must be initiated within {{return_period}} days of the original purchase date. Refunds will be processed within {{refund_processing_days}} business days of receiving the returned items and verification of their condition. A restocking fee of {{restocking_fee_percentage}}% may apply to returns not due to company error. This Return Authorization is valid for {{authorization_validity_days}} days from the date of issue. Items returned without a valid Return Authorization Number may be rejected.

Signature Block

Issued By:

{{company_name}}

By: _________________________

Name: {{issuer_name}}

Title: {{issuer_title}}

Date: {{issuer_date}}