Follow the steps to effectively complete the PRODUCT RETURN FORM.

1. Press the ‘Get Form’ button to obtain the PRODUCT RETURN FORM and open it for editing.
2. In Section 1, enter the primary information for the customer making the return. This includes the date of return, contact person's name, phone number, fax number, and email address. Fill out the optional DEA# and the number of boxes/cartons used for shipping the return.
3. If you are a direct customer (having purchased directly from Merck), complete Section 2 with your HIN#, PO# or debit memo number, and Merck account number. Additionally, enter your account name and address, including city, state, and zip code.
4. For indirect customers (those who purchased from a distributor or wholesaler), proceed to Section 3. Fill in the required HIN#, PO# or debit memo number, and the business name and address, including city, state, and zip code.
5. If the mailing address for reimbursement differs from the business address provided, complete this section with the additional address details.
6. In Section 4, ensure you include an itemized packing list with the product name, lot or control number, and quantity of each product being returned. Then, follow the mailing instructions provided to send your packing list and return product to the designated PharmaReturns, Inc. Processing Center address.
7. Finally, before submitting the form, review all entered information for accuracy. Save your changes, then download, print, or share the completed form as needed.

Complete your product return form online today to ensure a smooth return process.