Quality Complaint Form

Customer Information

Product Information

Delivery Date

Quality Issue Details

Type of Quality Issue*
Appearance (color, texture, clarity)Viscosity/ConsistencyPerformance (adhesion, coverage, durability)Curing/Drying IssuesContamination/Foreign MaterialPackaging Damage/LeakageLabeling ErrorOther

Detailed Description of Issue*

Impact on Operations*
CRITICAL - Production stopped, major lossesHIGH - Significant delays or quality issuesMEDIUM - Minor disruptions, rework requiredLOW - Noticed but manageable

Storage and Handling

Storage Conditions

Were recommended storage conditions followed?
Yes, as per TDS recommendationsPartiallyNoUnknown

Testing and Documentation

Have you tested the product?
YesNo

Test Results

Is the product still available for inspection?
Yes, retained sample availablePartially usedNo, completely used

Resolution Requested

What resolution are you seeking?*
Product ReplacementRefund/CreditInvestigation OnlyTechnical Support/Guidance

Additional Comments

Financial Impact (Optional)

Estimated Financial Loss

Details of Financial Impact

[acceptance* declaration] I declare that the information provided is accurate to the best of my knowledge and understand CoatNex may request samples or further inspection.