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Xerox Unused Supplies Return Form

This return process applies to entitled supplies covered under a Xerox Contract. To return billable supplies, contact 1-800-275-9376. For used supplies recycling, please visit www.xerox.ca/gwa

* Required Fields

Reason for Return

Good / Unused : *

YES

Damaged / Defective : *

YES

Reason for Return (no longer have device, wrong shipment, excess, etc.):

Account Information (please complete applicable fields) :

Company Name : *

Serial Number or Customer Number : *

Shipper (Origin) / Pickup Information :

Contact Name : *

Email Address :*

Phone Number : *

Street 1 : *

Street 2 :

City, Province, Postal Code : *

Room / Pickup Location :

Pickup Location Times :

Special Shipping/Pickup Instructions :

Additional Comments/Special Instructions :

Instructions

Please complete all sections.
Follow shipping instructions below.
You will receive an e-mail or phone call with a Return Material Authorization number (RMA) and further shipping instructions.
Please allow 7 to 10 days for pick up.
Please reply to your confirmation e-mail for inquiries.

Shipping Instructions

Returns under 200lbs:

Consolidate multiple items into larger
box(es).
Maximum weight of each box is 70lbs.
Maximum number of boxes is 14.
Label the box(es) with the Return Material Authorization (RMA) number provided by Xerox.
Please do not write directly on Xerox original packaging.

Returns exceeding 200lbs:

Consolidate multiple items onto a pallet and shrink-wrap.
Label all pallets with Bill of Lading (BOL) provided by Carrier.
Have a copy available at pick-up.
Label the pallet with the Return Material Authorization (RMA) number provided by Xerox.
Please do not write directly on Xerox original packaging.
Supplies should remain in original packaging until used.
Boxes should be maintained in original or "like new" condition to allow restocking.

Reorder # *

Carton Quantity*

Total Cartons

Total Shipping Boxes or Pallets*