SSP RMA Form

Please fill in the form below starting with your SSP Customer Number. Then fill in your Purchase Order Number, Packing List Number (referenced in the upper right of the Packing List), Invoice Number, SSP Customer Service Representative Name, Customer Part Number and corresponding SSP Part Number.

Customer Name:

Customer Number:

Customer Purchase Order Number:

SSP Packing List Number:

SSP Invoice Number:

SSP Customer Service Representative Name:

Customer Part Number:

SSP Part Number:

Serial Number:

Reason for Return:

	Damaged in Transit
	Received Damaged
	Incorrect Part Ordered/Received
	Damaged by Customer/User

Description:

Cause:

First Name:

Last Name:

Email Address:

Telephone:

Fax: