Return Product Form

Start your return online for faster response time!

For same day response, submit your return request by 3PM CST using the form
below. All returns are subject to our Material Return Policy.

Company Name*

What is your Werner Electric Supply Home Branch?

PO or Invoice Number*

Is this a job return?*

Is this a Rockwell return?*

Is the item in the original and unopened packaging?*

Please enter the products and the return quantities*

Is the part defective?*

If yes, what is defective about the part?*

If not defective please explain reason for return*

On-site contact name*	On-site contact phone number*

Pick-up address*	Pick-up date*

Special Instructions*