EMPLOYEE OWNED
MALCO PRODUCTS, INC.
Telephone: (320) 274-8246
Fax: (320) 274-2269
FIELD SCRAP FORM
(Revision of 2/17/06)
Account Number
Sales Rep
Date
Account Name
Address
City, State, Zip
Customer Contact
ITEMS FOR FIELD SCRAP
(Items being returned to Malco Products for warranty claim should not be on this form)
QTY
MALCO
CATALOG
#
CONDITION OF TOOL
(Amount of Use)
REASON FOR WARRANTY CLAIM
ISSUE CREDIT
 Light
 Heavy
 Light
 Heavy
 Light
 Heavy
 Light
 Heavy
 Light
 Heavy
 Light
 Heavy
 Light
 Heavy
SEND NO CHARGE REPLACEMENT
Malco Products, Inc. Sales Representative has disposed of merchandise.
Rep Agency
Rep Signature (authorizing signature)
Date
Print Name
*Contact Malco Customer Service at 1-800-328-3530 for authorization on Field Scrap claims of $50 or less.
* Fax completed Field Scrap Form to Malco Customer Service at 1-800-206-6760.
FOR MALCO PRODUCTS, INC. OFFICE USE ONLY
Customer Service Entry by
Processed as a
D:\81917089.doc
Sales Order No.
Defective Credit - Amount $
Defective No Charge Replacement
Date