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Material Returns Request Form

Contact Information
*First Name *Last Name
*Contact Phone Contact Fax
Contact Email *Company Name


Part #1
Order Information
Purchase Date *PO # or Invoice #
*Return Quantity *Werner Part #
Date Code / Serial # Allen-Bradley Part?
Reason For Return Please Describe Here


Pick-up Information
Pick-up Preference Additional Comments
*Pick-up Address  
Address Line 2  

Returns Policy
Werner must issue authorization in writing prior to return.
Original order number, date, and specific reason for return must be provided. Material must be unused, in original packaging (if applicable), and in saleable condition.
Stock Material
Restocking charge will apply per the following schedule:
Material returned within 90 days will have No Restock Fee.
Material returned within 91 to 180 days 15% Restock Fee.
Material older than 180 days must be reviewed, please contact your Werner Electric Returns Specialist.
Rockwell Automation
In accordance with Rockwell Automation’s Material Return Policy DM-128, any Rockwell Automation (Allen-Bradley) product returned in marked or open cartons is subject to rejection and denial of credit. Any electronic device with a product seal that has been broken, or any other device that Rockwell Automation deems necessary to retest, will be assessed a $100 per unit retesting fee. Product with a net value of $100 or less will not be retested and will be returned to the customer.

If the following products fail within 24 hours of power being applied, a case number will be required for credit. This can be obtained by calling Rockwell Automation’s New Product Satisfaction Return Hotline at 440-646-3223.
20A, 20B, 20C, 20D, 21A, 21B, 21V, 22A, 22B, 22C, 150, 152, 153, 154, 160, 28x, 440L, 442L, 845, 846, 1305, 1326, 1336, 1365, 1394, 1395, 1397, 1492-PRTKIT, 17XX, 2090, 2094, 2098, 2711, 2711P, 61XX, 8720, MP, F, H, N, Y (Note: X replaces a numeric character).
Non-Stock and Special Orders Material
All non-stock returns must have previous authorization from factory. The restocking charge will be determined by the factory upon acceptance. Credit for non-stock items will be issued immediately after Werner has received approval to ship the product to the factory. A handling and restocking charge, plus all freight costs, will apply (minimum 10%).

The following items are non-returnable:
Non-stock items after 60-days from delivery date
Custom Made-to-Order Material
Wire Cuts
48” and larger Hoffman non-stock panels/enclosures
Warranty and Defective Material
Customer or Salesperson must advise Werner Electric of the nature of defect.

Credit will be issued based on the terms and warranty of the manufacturer. Some products are ‘Repair Only’ and/or ‘Exchange Only’ under warranty and may not be returned for credit.
Werner Order Errors
Werner Electric must be made aware of any material that has been shipped in error within 90 days of its receipt. Returns of this nature identified in excess of 90 days from receipt are contingent upon the approval of a Werner Electric Returns Specialist.
Unauthorized Material
Any and all material that is returned without prior written authorization will be held and your Werner Electric Account Manager contacted for disposition. Product that has been modified or altered in any way and products for which no record of purchase can be provided are subject to be returned to the customer at their expense.