Return Authorization

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Return Authorization Request

**Date:** {{date}}

**Return Authorization Number (RMA#):** {{rma_number}}

**Customer Name:** {{customer_name}}

**Customer Address:** {{customer_address}}

**Customer Phone:** {{customer_phone}}

**Customer Email:** {{customer_email}}

**Original Order Number:** {{original_order_number}}

**Date of Original Order:** {{original_order_date}}

Reason for Return

Please indicate the primary reason for returning the item(s):

☐ Defective Product

☐ Incorrect Item Shipped

☐ Damaged in Transit

☐ Unsatisfactory Quality

☐ Changed Mind

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

Items to be Returned

Please list all items being returned:

| Item Name/Description | Product Code | Quantity | Unit Price | Total Price |

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

| {{item_1_name}} | {{item_1_code}} | {{item_1_quantity}} | {{item_1_unit_price}} | {{item_1_total_price}} |

| {{item_2_name}} | {{item_2_code}} | {{item_2_quantity}} | {{item_2_unit_price}} | {{item_2_total_price}} |

| {{item_3_name}} | {{item_3_code}} | {{item_3_quantity}} | {{item_3_unit_price}} | {{item_3_total_price}} |

**Total Value of Items Being Returned:** {{total_returned_value}}

Resolution

Please indicate your preferred resolution:

☐ Replacement (if item is available)

☐ Refund to Original Payment Method

☐ Store Credit

☐ Repair (if applicable)

Return Conditions

All returned items must be in their original packaging, unopened (unless defective), and in resalable condition. Any accessories, manuals, or free gifts received with the product must also be returned. Failure to meet these conditions may result in a denial of the return or a partial refund.

Goods must be returned within {{return_period}} days from the date of this authorization.

Shipping Instructions

Please package the item(s) securely to prevent damage during transit. Include a copy of this Return Authorization form inside the package. Ship the return to the following address:

{{return_shipping_address}}

The customer is responsible for return shipping costs unless the return is due to an error on the part of {{company_name}} (e.g., defective or incorrect item). We recommend using a trackable shipping method.

Refund/Replacement Processing

Refunds will be processed within {{refund_processing_days}} business days upon receipt and inspection of the returned items. Replacements will be shipped within {{replacement_shipping_days}} business days, subject to availability. You will be notified via email once your return has been processed.

Customer Acknowledgment

By returning the item(s) listed above, I acknowledge that I have read and agree to the terms and conditions outlined in this Return Authorization.

Customer Signature: _______________________

Printed Name: {{customer_name_printed}}

Date: {{acknowledgment_date}}

Authorized By

This Return Authorization is issued by:

Authorized Signature: _______________________

Printed Name: {{authorized_by_name}}

Title: {{authorized_by_title}}

Date: {{authorization_date}}