Kimberly-Clark
Trusted Clinical Solutions*

Shipping Discrepancy Document


This form is for documenting overage, shortage, or damage 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. Return Policy
»  Issuance of this form does not guarantee acceptance or promise of credit.

For future claims, access to Kimberly-Clark's Internet Customer Portal will provide automatic population for many fields. Click here to register.
* Denotes Required Field
 
Today's Date: 5/21/2012
*Your Company:
Branch Name:
*Street Address:
*City:
*State:
*Country:
*Zip:
 
*Your Name:
*Phone Number:
*Fax Number:
*Email Address:
*Re-enter Email Address:
Your Back-up Contact:
*Kimberly-Clark Account #: 
*Your Purchase Order #:
Bill of Lading/Confirmation/Invoice #: 
Carrier/PRO #:

Details of Shipping Discrepancy - OR - Listing of Requested Product Return

Enter the K-C Catalog Number and Quantity. Then, click on the drop down box and indicate the type of discrepancy and requested action to be taken.
 
Shrink Wrap Intact  Yes  No  Unknown
Tamper Tape Intact Yes  No  Not Applicable
 
K-C Catalog #Case QuantityDiscrepancy
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More Products
Additional Information:
 
When you have completed this form, click "submit" to send your discrepancy to Kimberly-Clark.

Please note that upon successful transmission of your discrepancy, you will receive an automatic confirmation in your email inbox. If you do not receive a confirmation, please contact Customer Care at healthcare.customer.service@kcc.com. This may indicate that your discrepancy did not transmit successfully.