DOA CLAIM FORM

Order#

Your email

Your Water Parameters:
Note: if your specimens arrived Dead on Arrival and did not make it to your tank you may enter "SKIP" in parameters section.
Salinity *


Alkalinity *


Calcium *


Magnesium *


Nitrates *


Phosphate *


Water temperature upon arrival?

List names of DOA Fish or Corals

We require clear digital images of the deceased corals and/or fish both in and out of the tank. In rare case livestock arrives DOA please take pictures of DOA in and outside of bag. Please take a collective picture of all non-surviving marine life outside the tank against a white background, and note the date of death on a paper next to them.
Attach DOA Images and attach a full tank shot of your aquarium:

If you can not fit all images in one form please resubmit with missing Images.