Order Issue
Submit form to report an issue with the delivery of your order. All issues must be reported within 2 business days from date of delivery.
Name of Organization
*
Member ID
*
Member Contact Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Delivery Issue
*
Product missing at delivery
Product damaged
Incorrect product delivered
Complaint about delivery
Order Number
*
Date of Delivery
*
-
Month
-
Day
Year
Date
Product Missing
Incorrect Product Delivered
Product Not Delivered
Return Product?
I will keep the incorrect product(s)
I would like to return the incorrect product(s)
Additional Information
Please provide any additional information you believe would be helpful to us as we resolve your issue.
Date Damage Discovered
*
-
Month
-
Day
Year
Product Damaged
Upload Photo(s)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Additional Information
Please provide any additional information you believe would helpful to us as we resolve your issue.
What was the problem with your delivery?
*
Order incorrect
Order not received when expected
Did not receive delivery notification
Complaint about delivery driver
Other
Additional Information
Please provide any additional information you believe would be helpful to us as we resolve your issue.
Member Services Information
Return Required
*
Yes
No
Credit Required
*
Yes
No
No, pooled grant or USDA covered
Member Services Resolution:
Submit
Should be Empty: