Faulty Goods Return Small Claims Template
Claimant Details
Name
Address
Contact Number
Email
Defendant Details
Name (Company or Individual)
Address
Contact Number (if known)
Details of the Goods
Description of Item(s)
Date of Purchase
Purchase Price
Invoice/Receipt Number
Details of the Fault
Description of the Fault
Date Fault Was Noticed
Actions Taken
Attempts to Resolve with the Seller
Outcome/Response from Seller
Claim Details
Amount Claimed
How Was This Amount Calculated?
Supporting Evidence (list documents/photos included)
Declaration
I confirm that the information provided is true and accurate.
Date
Signature