Your Contact Information Name*: Job Title*: Email*: Phone Number*: ext: Company Information Company Name*: Address* (line 1): Address (line 2): City*: State / Province*: Zip Code*: Location Details Check here if location details are the same as company details OR fill out location information below Contact Name*: Email: Phone Number*: ext: Company Name: Address (line 1): Address (line 2): City: State / Province: Zip Code*: Job Details Any information you can provide below is helpful when our customer service representative contacts you. How many inspectors(in addition to required Project Supervisor): How many shifts per day: When sort will begin (date & time): Date: Time: Quantity of Parts: Specific Lot #: Part weight: Part number: Part name: Non-Conforming Criteria: Rework/Visual Sort: Special tools required: How long is the project projected to last? Specific PPE Safety Glasses Steel Toes Ear Plugs Hard Hat Gloves OtherPPE: Purchase Order Number: Additional Details Upload a photo of the defective part below. If you would like to upload multiple photos, please put all photos in a zip folder and then upload. The maximum upload size is 9MB. Accepted file types are .zip, .jpg, .jpeg. and .pdf. Submit Your Project By clicking “send” this project will be initiated. If you require additional information before dispatching our team, please contact customer service at 877-224-8584.