DOVER FOOD RETAIL CUSTOMER WARRANTY AND QUALITY ASSISTANCE FORM

Please use this form to submit your warranty and or quality issue to Dover Food Retail by completing the information below. We will send you an email confirmation of your request once you have successfully completed this form.

SUBMITTED BY

Please add your name here.

SUBMITTED BY EMAIL:

Please add your email address where communications will be sent about this issue.

SUBMITTED BY PHONE:

Please add a phone number we can reach you using this format xxx-xxx-xxxx

DATE OF CUSTOMER ISSUE

Please enter the date the customer reached out to you concerning this issue.

mm/dd/yyyy

STORE(S) NAME

Please enter the name of the store that needs assistance.

STORE ADDRESS

Please enter the Store's Address.

INSTALLATION DATE

mm/dd/yyyy

MANUFACTURING PLANT

Using the drop-down list please add the plant responsible for manufacturing this product.

PRODUCT ID

Please enter the Serial Number, Order Number, or Job Number below.

QUANTITY AFFECTED

Please enter a count of how many of the products are affected by this issue.

DESCRIBE THE PROBLEM

Please give us a detailed summary of the issue that is occurring.

IS THIS THE FIRST TIME REPORTING THIS ISSUE?

Enter Yes or No using the drop-down list.

WHAT HAS BEEN DONE TO CORRECT THIS ISSUE SO FAR?

Please tell us what has been done so far to help remedy this issue.

HOW IS THIS ISSUE AFFECTING THE STORE/CUSTOMER?

Please use the drop-down selection to tell us at what level is this issue affecting the customer.

File Upload

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