| Company Information: | |
| Company filling claim: | |
| Name of person filling claim: | |
| E-Mail of person filling claim: | |
| Phone of person filling claim: | |
| Customer ref no.: | |
| | |
| Module Information: | |
| Order number: | |
| Type of module: | |
| Number of modules affected | |
| Serial Number(s) (one number pr line): | |
| | |
| Description of defect: | |
| Type of defect: | |
| Date of defect detection: | |
| Location of the defect on the module: | |
| Describe the defect: | |
| How was the defect discovered? | |
| Was the module inside original REC packaging? | |
| Place of the module on pallet number from top (top =40, bottom=1) | |
| Was the packaging visibly damaged? | |
| Describe the packaging of the pallet: | |
| | |
| Attachments: | Copy of delivery note |
| | Copy of packing list |
| | Picture of the entire packaging |
| | Picture of damaged module |