Return Merchandise Authorization

Return Merchandise Authorization

Fields marked with an asterisk (*) are required.
SECTION 1: Customer Information
Practice or Practitioner Name
Customer ID
Shipping Address

Street Address

Street Address Line 2

CityState

Zip Code
Your Email
example@example.com
Your Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
SECTION 2: Order Details
Specify all order numbers related to your request
Specify Purchase Order number or the name used to place the order
SECTION 3: Product(s) Being Returned
SECTION 4: Additional Information
Explanation for Return
DEFECTIVE ITEM(s) - More info required
Attach photos of all defective items listed above

Cancelof
Please describe your issue with all defective items listed above including when the item(s) were identified as defective, whether the item(s) were used in a patient procedure, and any potentially relevant details about the issues identified with the item(s)
Was there an injury or adverse event?
When did the event occur?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Was medical intervention required?
Item(s) available for return?
DAMAGED ITEM(s) - More info required
Attach photos of all damaged items listed above. Please include both a photo of the condition of the outer packaging and the carrier label.

Cancelof
NOT WHAT I ORDERED - More info required
Please describe what item(s) listed above you ordered and what item(s) you actually received.
Please specify separately for all products listed above
WRONG QUANTITY RECEIVED - More info required
Please describe the quantity discrepancy on all products listed above — did you receive more than you ordered, or less than the full amount?
Specify "Other reasons for return" mentioned above product.
SECTION 5: Acknowledgements
Return Policy:

Merchandise may NOT be returned unless accompanied by a Return Merchandise Authorization (an “RMA”) issued by Young Surgical. Returned Merchandise without an authorized RMA number, will NOT be eligible for credit and will NOT be returned to sender. Buyer must report claims to Young Surgical promptly as designated and outlined herein. All Merchandise must be returned within 14 days of buyer receipt.

Items NOT Eligible for Return: 
- Any Merchandise that expires within twelve months.
- Refrigerated or Hazardous Merchandise are not eligible for return.
- Schedule II (CII) Merchandise (i.e. Fentanyl, Morphine, etc.)
- Special Order Merchandise.
- Discontinued by Manufacturer Merchandise.
- Open or Partial containers from Original purchase size, including Merchandise that has been repackaged by MPS/Young Surgical.
- Misbranded Merchandise that has been written on or misbranded in any way.
- Any Merchandise not purchased from Young Surgical, MPS or PuraGraft.
Items Eligible for Return and Credit:
- Wrong Merchandise Received – Merchandise shipped in error by Young Surgical must be reported within 5 business days after receipt to receive credit. Please repackage appropriately. Young Surgical will pay for return shipping charges.
- Missing Merchandise – Shortages must be reported within 5 business days after receipt to receive credit.
- Damaged Merchandise – Damaged Merchandise must be reported within 5 business days after receipt to receive credit. REFRIGERATED Damaged Merchandise must be reported within 14 business days after receipt to receive credit. All Damaged Merchandise returned to Young Surgical will be subject to inspection and approval prior to issuing a credit. Young Surgical will pay for return shipping charges.
- MPS/Young Surgical Repackaged Merchandise must be unopened, unadulterated and in resalable condition.
- Merchandise Ordered in Error – Young Surgical must be notified within 5 business days after receipt to receive credit. Merchandise must be returned at buyer’s expense. Restocking fees apply.
- Overstock – Merchandise must be reported within 5 business days after receipt to receive credit. Please repackage appropriately. Merchandise must be returned at the buyer’s expense. Restocking fees apply.
- Receipt of Short Dated Merchandise – Merchandise having less than 6 months of dating must be reported within 14 days after receipt to receive credit. Please repackage merchandise appropriately prior to shipping. Young Surgical will pay for return shipping charges.
Restocking Fee: A 25% Restocking fee, with a minimum charge of $25, applies to all returns and exchanges that are not the fault of Young Surgical/MPS/PuraGraft.

All returned merchandise must be accompanied by a signature acknowledging the product was stored and handled in the appropriate manner and with care.

Returning Merchandise: Find the closest FedEx/UPS Ground Service Center or give the package to your local FedEx/UPS Ground driver to Return Merchandise.

To Find the closet FedEx or UPS Depot or Store, Google: “FedEx or UPS ground drop off” or go to http://www.fedex.com/locate/ or https://www.theupsstore.com/tools/find-a-store

Enter your zip code and click the search icon.
Your Name

First NameLast Name
I certify that the returned merchandise has been properly stored, handled, and maintained, has not been altered or compromised, and complies with Young Surgical’s RMA Policy.
INTERNAL USE SECTION
Based on Document Number F1C1035
Reviewer Name

First NameLast Name
Status
Explanation
RMA Number or Credit Memo (if applicable)
RMA Type
Submitted by Customer at

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
How many Products need Customer Complaint Form?
Should be Empty:

Return Merchandise Authorization

SECTION 1: Customer Information

SECTION 2: Order Details

SECTION 3: Product(s) Being Returned

SECTION 4: Additional Information

DEFECTIVE ITEM(s) - More info required

DAMAGED ITEM(s) - More info required

NOT WHAT I ORDERED - More info required

WRONG QUANTITY RECEIVED - More info required

SECTION 5: Acknowledgements

Return Policy:

INTERNAL USE SECTION