---
title: Return and refund request form template, free
description: A free return and refund request form template. Ask to return an item: the order, the item, the reason, the outcome wanted and photos, approved by the seller. No card details are collected. Send it to the people who need to fill it in; each signs their own copy.
---

# Return and refund request

Ask to return an item: the order, the item, the reason, the outcome wanted and photos, approved by the seller. No card details are collected.

Handle every return in the same way, with evidence and a signed decision.

## About you

- Full name (text)
- Email (email)
- Phone (phone, optional)

## Your order

- Order number (text)
- Purchase date (text)
- Item (text)
- Quantity (text)

## The return

- Reason (choice)
- Details (text, optional)
- Outcome wanted (choice)
- Photos (file (PDF or picture), optional)
- The item is in the condition described, and I will return it as instructed. (tick box)

## Signature

- Customer signature (signature)
- Customer date signed (date signed)

## For seller use

- Decision (choice)
- Note (text, optional)
- Seller signature (signature)
- Seller date signed (date signed)