Claim - register new case

Order number *

Invoice number

E-mail *

Company *

Your reference/project

Contact person *

Phone number

Regin's article number

Number of items

Select type of claim *

-- Select an option -- Wrong product delivered Wrong quantity Transport damage Other

In case of transport damage, upload a document signed by the transport company.

Error description *

Wish of action if reclamation granted

Credit

New replacement item

Would you like to register another product from the same order?

Yes

No

Regin's article number *

Number of items

Select type of claim *

-- Select an option -- Wrong product delivered Wrong quantity Transport damage Other

In case of transport damage, upload a document signed by the transport company.

Error description *

Would you like to register another product from the same order?

Yes

No

Regin's article number *

Number of items

Select type of claim *

-- Select an option -- Wrong product delivered Wrong quantity Transport damage Other

In case of transport damage, upload a document signed by the transport company.

Error description *

Would you like to register another product from the same order?

Yes

No

Regin's article number *

Number of items

Select type of claim *

-- Select an option -- Wrong product delivered Wrong quantity Transport damage Other

In case of transport damage, upload a document signed by the transport company.

Error description *

Company *

Delivery address *

Area code *

Marks (of your wish)

Order number (in your system)

Message to Regin

I accept

By approving and submitting the form, I confirm that I have read and accepted Regin's conditions for returns and complaints. (PDF document, 197 kB)

Submit