Claim Form/Return Request

If you have a problem with a shipment, please fill out the form below. A Rotex team member will get back to you shortly.
Fields marked with an asterisk are required.

Company Name*

First Name*

Last Name*

Email*

Telephone*

Rotex Sales Order/Invoice Number (SO or INV)*

Customer PO Number

Problem/Issue*

(please provide a brief description of the issue)

Attach Photos