If you have been notified that the fixtures in your warranty claim need to be destroyed, please fill out the below form. COD Form Case Number*Please add the full Case Number, including leading zeroes.FileDrop files here (optional) Drop files here or Select files Max. file size: 50 MB, Max. files: 10. Part Number and Date Code*Please add Part number and Date CodeMethod of DestructionMethod of DestructionDate*Date MM slash DD slash YYYY Acknowledgement* I hereby certify that these products have been destroyed by the above method. Certified By:*Certified By: First Last