Return Authorization

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{company_phone}}

Email: {{company_email}}

Website: {{company_website}}

Return Authorization Form

**Return Authorization Number (RAN):** {{ran_number}}

**Date of Issue:** {{date_of_issue}}

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

**Customer Account Number:** {{customer_account_number}}

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

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

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

Original Order Information

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

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

**Invoice Number:** {{invoice_number}}

Items to be Returned

Please list all items being returned:

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

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

Reason for Return

Please provide a detailed reason for the return:

{{reason_for_return}}

**Condition of Item(s):** {{condition_of_items}}

Resolution

**Requested Resolution:**

- [ ] Refund (to original payment method)

- [ ] Store Credit

- [ ] Exchange (for what item? {{exchange_item_details}})

- [ ] Repair

- [ ] Replacement

**Approved Resolution:** {{approved_resolution}}

Return Instructions

1. Package items securely in their original packaging, if possible.

2. Clearly mark the Return Authorization Number (RAN) on the outside of the package.

3. Include a copy of this form inside the package.

4. Ship the package to:

{{return_address_street}}

{{return_address_city}}, {{return_address_province_state}} {{return_address_postal_code}}

{{return_address_country}}

5. Please use a traceable shipping method. We are not responsible for lost return shipments.

**Return Shipping Costs:** {{return_shipping_costs_paid_by}}

Terms and Conditions of Return

1. All returns must be authorized in advance with a valid Return Authorization Number (RAN).

2. Items must be returned within {{number_of_days}} days of the original purchase date.

3. Returned items must be in their original condition, unused, and with all original tags and packaging intact, unless otherwise specified.

4. Refunds will be processed within {{refund_processing_days}} business days upon receipt and inspection of the returned items.

5. Certain items (e.g., {{non_returnable_items}}) may not be eligible for return.

6. A restocking fee of {{restocking_fee_percentage}}% may apply to certain returns.

Authorization

By signing below, the customer acknowledges and agrees to the terms and conditions outlined in this Return Authorization Form.

**Authorized By (Company Representative):**

_____________________________

Name: {{company_representative_name}}

Title: {{company_representative_title}}

Date: {{authorization_date}}

Customer Signature

**Customer Signature:**

_____________________________

Name: {{customer_name_signature_block}}

Date: {{customer_signature_date}}