DSW Complaint / Claim Form

Please fill out this form if you would like to file a complaint or claim with DSW Distribution Centers. The info you provide will be sent directly to DSW’s Management Team for immediate review and resolution.
Date *

Month Day Year Hour Minutes AM/PM Option
Your Company Name *
Preparers Name *

First Name Last Name
Phone Number *

Area Code Phone Number
E-mail *
Complaint / Claim Type *

Inventory Issue/Loss Damage by Whse Shipping Error Receiving Error Freight Issue Customer Service Charge back Billing Errors N/A
DETAILED STATEMENT OF THE ISSUE AND HOW VALUE (if any) HAS BEEN DETERMINED:
Claimed Amount
Statement *
ATTACH SUPPORTING DOCUMENTS:
Emails or other supporting documents
Bill of Lading
Cost of Goods
Picture 1 of Damaged Freight
Picture 2 of Damaged Freight

DSW AUTHORIZED REVIEWER