Report a Company

You do not need to be a Member or pay a fee to file a complaint against a company to ERAI. Information you provide to ERAI is held in strict confidence; your identity is not released to parties not directly related to the incident. Upon filing this complaint you will be asked to provide adequate documentation to substantiate your complaint that may include Purchase Orders, invoices, email communications, failure reports, photographs, etc. For additional information, please review the ERAI Company Reporting Guidelines and ERAI's complete terms and conditions.

If you have any questions or have difficulty submitting this form, please contact the ERAI office at 239-261-6268.
 
Reported Company Information
COMPANY NAME
AKA/FKA
COMPANY TYPE
ADDRESS 1
ADDRESS 2
CITY/STATE/ZIP
COUNTRY
PHONE
FAX
WEBSITE
CONTACT NAME
TITLE
EMAIL
PHONE
Incident Information
DATE OF INCIDENT
TYPE OF INCIDENT
INCIDENT DESCRIPTION
Reported Losses
TERMS
CURRENCY
COST OF GOODS
SHIPPING
ESCROW FEES
REWORK CHARGES
TESTING FEES
BANK CHARGES
LEGAL FEES
OTHER
PLEASE DESCRIBE
Parts
Part Number Lot Code Date Code Country of Origin Mfg Qty Unit Price
Delete

Please note that part number information is not required for past due invoice(s) or NSF check complaints.

High Risk Part Images/Files
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Your Company Information
COMPANY NAME
CONTACT NAME
COMPANY EMAIL
COMPANY PHONE
COMPANY FAX
Important