Non-Receipt of Goods Form

Rhykin
Non-Receipt of Goods Declaration Form
Customer Information
Order Information
Shipping Information
Declaration
I, [Customer Name], hereby declare and affirm under penalty of perjury that:
  • I placed the above-referenced order with Rhykin
  • I have NOT received the goods/items listed in this order
  • I have checked with all household members and neighbors who might have received the package
  • I have checked all possible delivery locations at my address (front door, back door, mailbox, etc.)
  • I understand that filing a false claim is considered fraud and may result in legal action
  • I agree to cooperate fully with any investigation regarding this claim
  • I agree to immediately notify Rhykin if the missing items are subsequently found or delivered
⚠️ IMPORTANT NOTICE

False Claims: Providing false information on this form constitutes fraud and may result in prosecution to the fullest extent of the law. This includes situations where items were received but claimed as non-received.

Investigation: This claim may be subject to investigation, which could include contact with shipping carriers, review of delivery records, and verification with neighbors or building management.

Resolution: Upon verification, we will process a replacement or refund according to our company policy. Processing time may vary based on investigation requirements.

Customer Signature
Type your full name below to serve as your digital signature