Amazon FBA Reimbursement Case Template: Build a Clear Evidence Summary
Prepare an FBA reimbursement review request with an editable evidence outline, event identifiers, resolution checks and a specific investigation question.

Identify one incident, describe the source evidence, explain the resolution checks you completed and state the specific question that remains. Adapt the outline to the current claim route and attach only relevant, genuine records.
Prepare the evidence before drafting the message
A useful case summary lets a reviewer locate the event and understand your question without reconstructing an entire spreadsheet. It does not need dramatic language, an inflated total or a claim that every missing match proves Amazon owes money.
Start by verifying the event, the relevant policy category and any later resolution. If the source period is incomplete or the reimbursement relationship is uncertain, the message should ask for investigation of that uncertainty. The outline here is an original FluxPilot working template, not an Amazon-approved form.
Build a compact evidence packet
Keep the original report separately from your annotated working copy. The packet should connect the incident to the product, date, source reference and quantity. Add the evidence used to investigate later activity and reimbursement coverage, plus relevant cost evidence if your question concerns valuation.
Give attachments descriptive names and mention the relevant row or reference in the summary. A screenshot can support context, but preserve the underlying export when available. Include only the material needed for this incident and follow the upload requirements shown in the current support workflow.
| Evidence | Purpose | Before including it |
|---|---|---|
| Original event record | Locate the incident | Verify scope and reference |
| Later activity review | Explain apparent resolutions | Check incident relationship |
| Reimbursement record | Show compensation checked | Verify allocation |
| Cost evidence when relevant | Support a valuation question | Confirm product, units and currency |
| Concise working summary | Explain the remaining question | Separate facts from assumptions |
Use this editable case outline
Subject: Request to review [event category] for [inventory identifier] / [event reference].
Hello, please help me review the following inventory event in [marketplace]. The source report is [report name], covering [start date] to [end date], generated on [export date]. The event reference is [reference], dated [event date], for [SKU/FNSKU/ASIN as available]. The affected quantity recorded is [quantity].
I checked [later activity and relevant history]. The verified resolutions I found are [describe references and distinct quantities]. I also reviewed reimbursement history covering [period]. The linked reimbursement evidence is [reference and coverage], or [state the specific matching uncertainty].
My remaining question is [one precise investigation request]. Based on the evidence supplied, [quantity] units appear to need clarification, subject to your verification and the applicable policy. Please confirm whether this event has been resolved, identify the relevant resolution reference, or advise what additional evidence is needed.
Attached: [short list of genuine evidence files and relevant references]. Thank you.
Adapt the request to the actual uncertainty
If the problem is missing quantity coverage, focus on the unresolved portion and explain how you separated it from already resolved units. If the problem is valuation, keep the compensation reference and ask about the amount calculation, with relevant cost evidence.
If the problem is an ambiguous match, say so. For example: 'I found reimbursement [reference], but I could not verify whether it covers incident [reference]. Please clarify the relationship.' That is more accurate than declaring the incident unpaid because your spreadsheet join was inconclusive.
Do not fill a placeholder with a guessed number or invented event reference. Leave it out or explain that the source does not provide it. A precise account of the evidence you have is stronger than an apparently complete message with unreliable details.
Check the route and timing in Seller Central
Use the current claim or support route appropriate to the event category in your marketplace. A general message template cannot replace category-specific prerequisites or required documents. Record the policy you checked and the date you checked it.
Before submitting, verify that the same incident is not already being investigated in another case. If it is, preserve continuity with the existing reference and follow the instructions shown for that case. Keep a record of exactly what was submitted and when.
Track the response as part of the evidence
Record the case reference, response date, requested documents and next action. A request for more information should remain open in your review queue. A decision should be linked to the incident and any reimbursement evidence that follows.
FluxPilot helps organize report findings for review; preparing this summary does not mean a case has been automatically submitted to Amazon. Confirm the candidate in Seller Central and submit through the applicable workflow yourself.
Use the free reconciliation worksheet to preserve the status, owner and next review action. That keeps the case from disappearing into an email thread or returning as a duplicate candidate next month.
Frequently asked questions
Is this an official Amazon claim form?
No. It is an original evidence outline to adapt to your verified records and the current support route in Seller Central.
Can FluxPilot submit this request automatically?
This guide describes preparing evidence for manual review and submission in Seller Central. It does not describe automatic claim filing.
Sources and further reading
Workflows and examples are from FluxPilot. Amazon policies change; verify the current policy for your marketplace before filing a claim.
Amazon FBA inventory reimbursement policy (check your marketplace)