Report Shipping Discrepancy

Details of Shipping Discrepancy – OR – Listing of Requested Product Return

This form is for documenting overage, shortage, or damage shipping discrepancies. Provide your company information and the required information in the noted fields.

  • All claims must be reported within 72 hours of receipt of product
    OS&D Policy
    Return Policy
  • Issuance of this form does not guarantee acceptance or promise of credit.

For future claims, access to Halyard’s Internet Customer Portal will provide automatic population for many fields. Click here to register.

  • Date Format: MM slash DD slash YYYY
  • Your 8-digit Halyard customer account number. This can be found on the invoice under the heading cust/loc.
  • This is the 8 digit number that is found on the bill of lading, usually beginning with a 2 or a 4.
  • Details of Shipping Discrepancy - OR - Listing of Requested Product Return

    Enter the HYH Catalog Number, quantity ordered and received. Then, click on the drop down box and indicate the type of discrepancy and requested action to be taken.
  • Accepted file types: jpg, gif, png, pdf, xls, dox.
    File attach (Upload size limit=5MB. jpg, gif, png, pdf, xls and doc files)
  • * Please complete the shipping discrepency details (at least 1 item)

  • Please enter a number from 0 to 5000000.
  • Please enter a number from 0 to 5000000.
  • When you have completed this form, click "submit" to send your overstock return request to Halyard. Please note that upon successful transmission of your overstock return request, you will receive an automatic confirmation in your email inbox. If you do not receive a confirmation, please contact Customer Care at OSDConcerns@hyh.com This may indicate that your overstock return request did not transmit successfully.
  • This field is for validation purposes and should be left unchanged.