RMA Form Template (Return Form)

<!-- Link here from your shipping email as e.g. /returns?order=1042 to pre-fill the order number -->
<form action="https://splitforms.com/api/submit" method="POST" enctype="multipart/form-data">
  <input type="hidden" name="access_key" value="YOUR_ACCESS_KEY">
  <input type="hidden" name="subject" value="New RMA request">
  <input type="hidden" name="form_loaded_at" id="form_loaded_at">

  <fieldset>
    <legend>Your order</legend>
    <label>Full name <input type="text" name="name" autocomplete="name" required></label>
    <label>Email <input type="email" name="email" autocomplete="email" required></label>
    <label>Phone (optional) <input type="tel" name="phone" autocomplete="tel"></label>
    <label>Order number <input type="text" name="order_number" id="order_number" required></label>
    <label>Purchase or delivery date <input type="date" name="purchase_date" required></label>
  </fieldset>

  <fieldset>
    <legend>The product</legend>
    <label>Product name <input type="text" name="product" required></label>
    <label>SKU or model number (optional) <input type="text" name="sku_or_model"></label>
    <label>Serial number (if the product has one) <input type="text" name="serial_number"></label>
    <label>Quantity to return <input type="number" name="quantity" min="1" max="99" step="1" value="1" required></label>
  </fieldset>

  <fieldset>
    <legend>What would you like?</legend>
    <label><input type="radio" name="return_type" value="Refund" required> Return it for a refund</label>
    <label><input type="radio" name="return_type" value="Exchange"> Exchange it (different size, color or model)</label>
    <label><input type="radio" name="return_type" value="Repair or warranty"> Repair or warranty replacement</label>
    <label>If exchanging, what would you like instead? <input type="text" name="exchange_for"></label>
  </fieldset>

  <fieldset>
    <legend>Why, and what condition is it in?</legend>
    <label>Reason
      <select name="reason" required>
        <option value="">Choose one</option>
        <option>Defective or stopped working</option>
        <option>Damaged in shipping</option>
        <option>Wrong item sent</option>
        <option>Not as described</option>
        <option>Wrong size or fit</option>
        <option>No longer needed</option>
        <option>Other</option>
      </select>
    </label>
    <label>Condition
      <select name="condition" required>
        <option value="">Choose one</option>
        <option>Unopened</option>
        <option>Opened, not used</option>
        <option>Used</option>
        <option>Damaged</option>
      </select>
    </label>
    <p>Do you still have the original packaging?</p>
    <label><input type="radio" name="original_packaging" value="Yes" required> Yes</label>
    <label><input type="radio" name="original_packaging" value="No"> No</label>
    <label>Describe the problem <textarea name="description" rows="4" required></textarea></label>
  </fieldset>

  <!-- Photos are stored on paid plans; the Free plan drops uploaded files -->
  <label>Photos of the item or damage (optional, up to 5)
    <input type="file" name="photos" accept="image/*" multiple>
  </label>

  <label><input type="checkbox" name="wait_for_rma" value="yes" required>
    I will not ship the item until I receive an RMA number and return instructions.</label>

  <!-- honeypot: leave empty -->
  <input type="checkbox" name="botcheck" style="display:none" tabindex="-1" autocomplete="off">

  <button type="submit">Request a return</button>
</form>
<script>
  document.getElementById('form_loaded_at').value = Date.now();
  var orderParam = new URLSearchParams(location.search).get('order');
  if (orderParam) document.getElementById('order_number').value = orderParam;
</script>