Request for Returned Materials Authorization Request for Returned Material Authorization Please use this form to formally request authorization for the return of materials to Universal Metals, LLC. Step 1 of 5 20% General InformationCompany Name* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Person* First Last Phone*Email* Enter Email Confirm Email Debit / Claim / Reference #* Material CreditNote: If you are requesting authorization to return material from multiple UMI invoices, please list each item below. You can add items by clicking the [+] below each item listed. Please provide the following information for each item that you are requesting an authorization to return. Please provide data for the material in its CURRENT form in which you are proposing to return it to UMI, not for the form in which it was received. If the material was invoiced as a single piece, but it is being returned in multiple pieces, please provide the requested information for each individual piece. Material Credit*Original UMI Tag #Current Storage Tag #GradeGaugeWidthLength (Sheets)QuantityCurrent Weight (lbs.)Credit Requested ($ per CWT)Total Credit Requested ($)Reason for Rejection Upload PhotosIf material is being returned due to defects which are visible (i.e., rust, stains, peeling, flaking, gross shape defects, etc.), photos of the defects must accompany this request. Select the number of images you would like to upload.012345Max. file size: 50 MB.Max. file size: 50 MB.Max. file size: 50 MB.Max. file size: 50 MB.Max. file size: 50 MB. Non-Material CreditIf you are requesting authorization for non-material costs, please provide a detailed explanation below of the nature and calculation of these costs, the percentage share of these costs that you are asking UMI to absorb, and copies of the corresponding invoices on which you were billed. Costs which lack sufficient back-up documentation will be denied.ExplanationUpload DocumentsUpload copies of the corresponding invoices on which you were billed. Costs which lack sufficient back-up documentation will be denied. Select the number of documents you would like to upload.012345Max. file size: 50 MB.Max. file size: 50 MB.Max. file size: 50 MB.Max. file size: 50 MB.Max. file size: 50 MB. Proposed Disposition of Item(s) Return Material to UMI Current / Storage Tag #*Current Location of Material * Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone* Keep This Material at a Reduced Price Proposed Price ($ / CWT)*UMI will respond to your proposal within three business days of receipt of this completed form. Scrap Material Rate ($ / CWT)* Total Scrap Credit to UMI ($ / CWT)* Total Amount of this Claim* Next StepsWithin three business days of receipt of your completed Request for Returned Material Authorization and all required supporting documentation, UMI will review your request and inform you of our authorization or denial of each individual item in your claim. If authorized, a Return Material Authorization (RMA) number will be issued by UMI. Full acceptance of your claim is conditional upon our receipt of proof that all materials identified for return have been transferred into UMI’s ownership (preferable) or released for our pickup (acceptable) at the current location indicated above. Once this requirement has been satisfied, UMI will notify you of full acceptance of the previously authorized items and initiate processing of a corresponding Credit Memo. Payment in full, within terms, will be expected on all open invoices with corresponding returns-in-process until a UMI Credit Memo has been issued for the returned items.Signature of Customer Representative* First Last Captcha