Account Reinstatement Intake Form

Type of Selling Plan

Individual
Professional

When did you open this account?

When was your account suspended?

Reason For Suspension*

Inauthentic Claims

What ASINs are affected?

Does your inventory 100% match the product described on the listing?

Yes
No

Does your product come in the original manufacturer packaging?

Yes
No

Please attach pictures of all sides of your product packaging.

Drop files here or

Please Enter your Supplier's Name.

Please Enter your Supplier's Phone Number.

Please Enter your Supplier's Address.

Street Address City State / Province / Region ZIP / Postal Code Country

Please Enter your Supplier's Website.

How many units of this product did you sell 365 days prior to suspension?

Do you have invoices for the affected ASIN(s) ?

Yes
No

Please attach copies of your invoices. Make sure it matches your sales volume for the past year.

Drop files here or

Please attach a copy of your Product Return report and A to Z claims.

Drop files here or

Please attach a copy of your Feedback Report.

Drop files here or

Do you want to continue selling this product?

Yes
No

Counterfeit Claims

What ASINs are affected?

Does your inventory 100% match the product described on the listing?

Yes
No

Does your inventory 100% mDoes your product come in the original manufacturer packaging?atch the product described on the listing?

Yes
No

Please attach pictures of all sides of your product packaging.

Drop files here or

Please Enter your Supplier's Name.

Please Enter your Supplier's Phone Number.

Please Enter your Supplier's Address.

Street Address City State / Province / Region ZIP / Postal Code Country

Please Enter your Supplier's Website

How many units of this product did you sell 365 days prior to suspension?

Do you have invoices for the affected ASIN(s)?

Yes
No

Please attach copies of your invoices. Make sure it matches your sales volume for the past year.

Drop files here or

Please attach a copy of your Product Return report and A to Z claims.

Drop files here or

Please attach a copy of your Feedback Report.

Drop files here or

Do you want to continue selling this product?

Yes
No

Used Sold As New

What ASINs are affected?

Does your packaging sufficiently protect your product from damage during transit?

Yes
No

Please attach pictures of all sides of your product packaging.

Drop files here or

Please Enter your Supplier's Name.

Please Enter your Supplier's Phone Number.

Please Enter your Supplier's Address.

Street Address City State / Province / Region ZIP / Postal Code Country

Please Enter your Supplier's Website

How many units of this product did you sell 365 days prior to suspension?

Do you have invoices for the affected ASIN(s)?

Yes
No

Please attach copies of your invoices. Make sure it matches your sales volume for the past year.

Drop files here or

Please attach a copy of your Product Return report and A to Z claims.

Drop files here or

Please attach a copy of your Feedback Report.

Drop files here or

Are your product returns being placed back into sellable inventory by Amazon?

Yes
No

Do you want to continue selling this product?

Yes
No

Intellectual Property Infringement Complaints

What ASINs are affected?

(Please separate multiple ASINs with a comma.)

Type of Infringement Complain

Have a Registration Number of IP infringed ?

Yes
No

Please Provide Registration Number of IP infringed

Complainant / Rights Owner

Is Contact Information of the Complainant / Rights Owner ?

Yes
No

Please provide the Contact Information of the Complainant / Rights Owner.

Have you contacted the rights owner?

Yes
No

please provide copies of correspondence with the rights owner.

Drop files here or

Please send us a copy of your listing information (i.e. product title, product description, product images, etc.)

Drop files here or

Do you own the pictures used in your product images?

Yes
No

where did you get these photos from?

Do you want to continue selling this product?

Yes
No

Do you have invoices for the affected ASIN(s) ?

Yes
No

Please attach copies of your invoices. Make sure it matches your sales volume for the past year.

Drop files here or

Related Seller Accounts

Do you know the related account

Yes
No

Do you own another seller account?

Yes
No

Please provide the following information concerning your other seller account.

Date Seller Account Opened

Date Seller Account Suspended

Suspension Reason

Email Address

Store Name

Merchant ID/Token Number

Is it under a person’s name or a company name?

Yes
No

Name on Seller Central

Have you attempted to open another Amazon seller account previously?

Yes
No

When did this happen?

What email address did you use?

What store name did you use?

Please specify all the marketplaces that you sell under.

Did you help another seller set up their Amazon seller account?

Yes
No

What is the email address associated with their seller account?

What is their store name?

Did you use any third-party service to help you set up or run your account or get you ungated for a particular product?

Yes
No

Please provide the name of the company that helped you

Do you have employees or third-party services that have access to your seller account?

Yes
No

Please provide the name

Please provide the Email address

Add More

Name	Email Address	Actions
		Edit Delete
There are no Entries.

Maximum number of entries reached.

How many devices do you use to access your seller account?

Do you have other family members or friends who have Amazon seller accounts?

Yes
No

Fair Pricing Abuse

What ASINs are affected?

What was your price offer for this product?

Is This

FBM
FBA

How much do you charge for shipping?

What is the condition of this product?

Used
New
Collectible

Other Suspension

Please explain the circumstances that led to this policy violation to the best of your knowledge.

Phone

This field is for validation purposes and should be left unchanged.

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