Notice of Claim of Defective Goods
To: (Name of Supplier), (street address, city, state, zip code).
We have purchased a product sold or manufactured by you described as: (description
One of our customers has advised us of a defect in the product described as follows:
(description of defect).
Name of Customer: __________________________________________
Approximate date of purchase: _____________
Nature of defect: ___________________________________________________
Injuries claimed: ___________________________________________________
Property Damaged Claimed: ___________________________________________
In the event that a legal action is commenced against us arising from Breach of
Warranty of Merchantability respecting the product, we shall look to you for full
This notice is provided to you to give you earliest possible notice of the potential claim.
WITNESS our signature as of the day and date first above stated.
(Name of Purchaser)
(Printed Name & Office in Corporation)
(Signature of Officer)