Report A Loss - Valley Farms Hatchery

REPORT A LOSS TO US

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Step 1 of 2 - Order Details

ORDER DETAILS

Tell us which order you experienced a loss on.

Name*

Email*

Phone*

Order Number*

Select A Loss Type:*

Desired Solution*

Date Received*

Time Received*

Upload Image of Packing Label*

Drop files here or

Max. file size: 12 GB.

BREED DETAILS

Now let us know how many of each breed you lost on this order.

Breed 1*

Live Count - Breed 1*

Enter "0" if never received

Sex - Breed 1*

Upload Image of Dead Poultry - Breed 1*

Please upload ONE (1) image of ALL your dead poultry for this breed.

Drop files here or

Max. file size: 12 GB.

Would You Like To Add Breed 2?*

Breed 2*

Live Count - Breed 2*

Enter "0" if never received

Sex - Breed 2*

Upload Image of Dead Poultry - Breed 2*

Please upload ONE (1) image of ALL your dead poultry for this breed.

Drop files here or

Max. file size: 12 GB.

Upload Image of Dead Poultry - Breed 2*

Please upload ONE (1) image of ALL your dead poultry for this breed.

Drop files here or

Max. file size: 12 GB.

Would You Like To Add Breed 3?*

Breed 3*

Live Count - Breed 3*

Enter "0" if never received

Sex - Breed 3*

Upload Image of Dead Poultry - Breed 3*

Please upload ONE (1) image of ALL your dead poultry for this breed.

Drop files here or

Max. file size: 12 GB.

Upload Image of Dead Poultry - Breed 3*

Please upload ONE (1) image of ALL your dead poultry for this breed.

Drop files here or

Max. file size: 12 GB.

Would You Like To Add Breed 4?*

Breed 4*

Live Count - Breed 4*

Enter "0" if never received

Sex - Breed 4*

Upload Image of Dead Poultry - Breed 4*

Please upload ONE (1) image of ALL your dead poultry for this breed.

Drop files here or

Max. file size: 12 GB.

Upload Image of Dead Poultry - Breed 4*

Please upload ONE (1) image of ALL your dead poultry for this breed.

Drop files here or

Max. file size: 12 GB.

Would You Like To Add Breed 5?*

Breed 5*

Live Count - Breed 5*

Enter "0" if never received

Sex - Breed 5*

Upload Image of Dead Poultry - Breed 5*

Please upload ONE (1) image of ALL your dead poultry for this breed.

Drop files here or

Max. file size: 12 GB.

Upload Image of Dead Poultry - Breed 5*

Please upload ONE (1) image of ALL your dead poultry for this breed.

Drop files here or

Max. file size: 12 GB.

Would You Like To Add Breed 6?*

Breed 6*

Live Count - Breed 6*

Enter "0" if never received

Sex - Breed 6*

Upload Image of Dead Poultry - Breed 6*

Drop files here or

Max. file size: 12 GB.

Please upload ONE (1) image of ALL your dead poultry for this breed.

Upload Image of Dead Poultry - Breed 6*

Drop files here or

Max. file size: 12 GB.

Please upload ONE (1) image of ALL your dead poultry for this breed.

If you have more than six (6) breeds to claim, please submit another form.

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