Customer RGA Form

To download the PDF form, please click on Customer Initiated RGA.

If you do not have a PDF Reader, please click Download Adobe Reader before downloading the Customer Initiated RGA form.

Once you have filled out the necessary fields on the form, email it back to

A confirmation RGA Number will be email back to you within 24 hours. Once you receive the email, please print it and have it ready for our driver. Once processed our driver will be notified and will pick the part up with your next delivery.

Please be sure to provide the following information on the Customer Initiated RGA form:

- Your Customer ID (Account Number)                      - Quantity
- Customer Name                                                - Part Number
- Original Invoice Date                                          - Description
- Original Invoice Number                                     - Return Code (See drop down list)
- Today's Date