Denial Of Receipt Form

Haven’t received your delivery? Please fill in the form below.

Dear Customer,

We (as in RDS), help many retailers with their eCommerce deliveries, including managing the relationship with the carriers.

We are sorry that your delivery has not gone as we would have expected. Unfortunately, things sometimes go wrong and deliveries may not make it to the intended recipient.

In the rare instance that this may occur, we ask for the carrier in question to investigate, which includes them checking the couriers GPS, checking their photographic file (as the couriers are asked to take multiple photos, but the carriers only display the one) and interviewing the delivery courier, to establish with the courier what happened.

If the courier has left the item in a safe place, or indeed, with a neighbour, he/she will be asked to return the same/next day, to see whether they can help you to retrieve the item. If you haven't already, can we ask that you check your surrounding locations and with neighbours before completing the form, as often this results in the item(s) being found.

If the item cannot be located, only then will the carrier deem the item lost. At this point we can pursue a claim with the carrier, who in turn, will require the effected recipient to complete the below form. Should you have questions, please do not hesitate to contact your retailer, with whom we'll keep posted throughout the investigation.

Please note, for legal (GDPR) reasons, we are unable to disclose any information to anyone other than the retailer, our customer.

Email Address*

Carrier in Question*

Carrier Tracking Number*

Please confirm the name of the retailer with whom you have made your purchase*

I wish to deny receipt of the above parcel tracking number*

I can confirm, that I have checked with those within my household & my neighbours who may have received the goods & the parcel(s) has not been located*

I have fully checked around my property and have not located the parcel*

I will inform you immediately if it arrives*

I agree to co-operate with the carriers Loss Prevention &/or the Police in the event of any investigation into the missing items*

Please provide the best phone number, for the carriers Loss Prevention team to reach you on*

I confirm this declaration is true & accurate in all respects*

I understand by making a false statement could lead to prosecution*

Additional information to help the carrier with their investigation, such as 'I do not recognise the porch in the delivery photo'*

Signed Declaration

Full Name*

Date*

Thank you very much for completing the Denial of Receipt form. We shall now pass your form onto the carriers Loss Prevention team, to investigate the matter further. We shall also forward the form to your retailer and will keep them updated throughout the investigation. Please note that we can only discuss the claim with the retailer (our customer).
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