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Declaration of Non-Receipt of Goods

Please complete this form in full so we can investigate your claim with our delivery partners.

Customer Details Full Name * Email Address * Contact Number Delivery Address *

Order Information Order Number * Order Date *

Confirmation of Non-Receipt

I have checked with all household members. I have checked with neighbours. I have checked outbuildings, communal areas, reception areas or safe places. I have checked courier delivery notifications.

Delivery Information Did you provide safe-place or neighbour instructions? If yes, please specify: Have you previously received parcels at this address? Was the address correct when the order was placed? If no, specify:

Declaration

By submitting this form, I confirm that the information provided is accurate and that false claims may constitute fraud.

Digital Signature * Date *