Please refer to Customer Service Policy Conditions. To be completed by the customer and sent to ECACC following receipt of defective or damaged product. NOTE: It is recommended that the customer telephones ECACC Technical Support without delay if experiencing problems with cell cultures or other products, prior to sending the completed form. Tel: 01980 612684, Fax: 01980 611315, E-mail: [email protected]
Please complete the following as fully as possible for each claim
CUSTOMER INFORMATION
Name:
Title:
Institute:
Your Purchase Order Number
Our Order Number (If Available)
Tel No
Fax No
Email Address
Date Consignment Received
CLAIM FOR DAMAGED OR DELAYED SHIPMENTS
Date of Receipt of Goods
Date of Claim
Name of Local Freight Forwarder
Reason for Claim
CULTURE INFORMATION
Cell Line Name
CB/Lot #
Cell Line Name
CB/Lot #
Cell Line Name
CB/Lot #
In order for us to process your service request promptly, please complete the following as fully, clearly and concisely as possible.
Please tick appropriate category, giving full details below;
Non Viable
Microbial Contamination
Atypical growth/morphology
Other	Please specify:
Date of Resuscitation
Have you sub cultured the cells after receipt?	Yes
	No
Number of Subcultures
If so, what was the medium used?
What supplements have been used ? (including Antibiotics)
State incubation conditions
Details / Comments
Did you consult ECACC Technical Service beforehand?	Yes
	No
Culture Information is essential; processing of your Service Form will be delayed if this information is missing. It is vital that you complete the above form fully for ECACC to process your claim.