Customer RGA Form | KSI Auto Parts

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Customer Initiated
Return Goods Authorization (RGA)

Customer ID:

Customer Email

Customer Name:

Today's Date:

First RGA Request

Invoice #:

Invoice Date:

Quantity:

Part:

Return Reason:

Is part damaged?

Yes

No

Is part painted?

Yes

No

If part is CAPA, are both parts of the CAPA seal intact and attached to the part?

Yes

No

N/A

Is part in original packaging and in re-sellable condition?

Yes

No

Upload Image(s)

Upload supported file (Max 15MB)

Description:

Second RGA Request

Invoice # (If different than above):

Invoice Date:

Quantity:

Part:

Return Reason:

Is part damaged?

Yes

No

Is part painted?

Yes

No

If part is CAPA, are both parts of the CAPA seal intact and attached to the part?

Yes

No

N/A

Is part in original packaging and in re-sellable condition?

Yes

No

Upload Image(s)

Upload supported file (Max 15MB)

Description:

Third RGA Request

Invoice # (If different than above):

Invoice Date:

Quantity:

Part:

Return Reason:

Is part damaged?

Yes

No

Is part painted?

Yes

No

If part is CAPA, are both parts of the CAPA seal intact and attached to the part?

Yes

No

N/A

Is part in original packaging and in re-sellable condition?

Yes

No

Upload Image(s)

Upload supported file (Max 15MB)

Description:

Fourth RGA Request

Invoice # (If different than above):

Invoice Date:

Quantity:

Return Reason:

Is part damaged?

Yes

No

If part is CAPA, are both parts of the CAPA seal intact and attached to the part?

Yes

No

N/A

Is part in original packaging and in re-sellable condition?

Yes

No

Part:

Is part painted?

Yes

No

Upload Images(s)

Upload supported file (Max 15MB)

Description:

Thank you for submitting your RGA request! You will receive an RGA for eligible parts within 24 hours (M - F).

HEADQUARTERS

100 WADE AVENUE

SOUTH PLAINFIELD NJ 07080

PHONE 908.754.7154

Customer Initiated Return Goods Authorization (RGA)

First RGA Request

Second RGA Request

Third RGA Request

Fourth RGA Request

Customer Initiated
Return Goods Authorization (RGA)