RGA Return Request

Submit a return request (RGA) for items that need to be returned, credited, or replaced.

RGA return request form

Reference number

Date*

PO / Order #*

Invoice # (if available)

Requested action*

Return reason*

Items to return* Include item numbers, quantities, and any lot/serial numbers where applicable.

Attachments (optional) Attach photos, packing slips, invoices, and supporting documents.

Signature

Print name*

Date*