Shipping Discrepancy Request Form
This form is for documenting overage, shortage, or damaged 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
- 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.