Certificate of Destruction (COD) Form

If you have been notified that the fixtures in your warranty claim need to be destroyed, please fill out the below form.

COD Form

  • Please add the full Case Number, including leading zeroes.
  • Drop files here (optional)
    Drop files here or
    Max. file size: 50 MB, Max. files: 10.
    • Part number and Date Code
    • Method of Destruction
    • Date
      MM slash DD slash YYYY
    • Certified By: