Order Issue

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 NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Delivery Issue*

Product missing at deliveryProduct damagedIncorrect product deliveredComplaint about delivery
Order Number*
Date of Delivery*

MonthDayYear
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*

MonthDayYear
Product Damaged
Upload Photo(s)

Cancelof
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 incorrectOrder not received when expectedDid not receive delivery notificationComplaint about delivery driverOther
Additional Information
Please provide any additional information you believe would be helpful to us as we resolve your issue.
Member Services Information
Return Required*

YesNo
Credit Required*

YesNoNo, pooled grant or USDA covered
Member Services Resolution:
Inventory Information
Inventory Comments
Should be Empty:

Member Services Information