Claims

Category:
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Name*


Email Address*


Sales Rep*


Priority*


Grimes Invoice


Grimes Order Number*


Grimes Customer ID*


Shipping Company


Company Name


Phone*


Date Received*


Vendor


Other


Item Description*


Claim Reason*


Number of Items Damaged*


Item Description 2


Claim Reason 2


Number of Items Damaged 2


Item Description 3


Claim Reason 3


Number of Items Damaged 3


Requested Action*


Credit Amount Requested*


Description*


Upload Images

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