Free RMA Request Form Template


If your company takes returns, you’re going to need an RMA (return merchandise authorization) request form that your customers can fill out. This form can easily be faxed or emailed back to you to initiate an RMA request.

Here is a sample RMA request form for the fictional company MYCOMPANYNAME:



RMA Request Form


NOTE: Do Not Return An Item Until You Have Received An Issued RMA Number.
Items received without an RMA number will be refused.

This RMA form is to be filled out only for defective products.  Your RMA number and related information will be sent to you via EMAIL ONLY. Please provide the email address you wish to be contacted at:

Your Email Address:   ___________________ *REQUIRED
Today’s Date: __________   Date Of Purchase _________ (Must Be Within 30 Days)

Failure to provide a valid email address may prevent an RMA message from going through.

Name:  _________________________

Address:  _________________________     

City/State/Zip: _____________________

Phone:  _________________________

Fax:  _________________________

Order Number: __________

For Office Use Only:
RMA #:

Date of Issue:
Item Codes:


Items Received:


Product Name(s): ______________________________________________________

Problem Description:
Please be as thorough as possible in describing the problems that you are having.

I would prefer a (please mark):

______Refund to Store Credit
______Refund to Credit Card / Paypal


I agree to all RMA terms/conditions stated in this document and on the OutletPC Policy Information page:

Signature: ________________________        Print Name: ________________________

Copyright OutletPC Blog

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One thought on “Free RMA Request Form Template

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