ALS: Return of Goods

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NCI-Frederick Return of Goods Form
Welcome to the NCI-Frederick Return of Goods Form. When the required information has been completed, please click submit at the bottom of the form and your information will be submitted electronically.

Initiated By:		Extension:
Email Address:		Vendor #/Location:
Vendor Name:		Building/Room:
PO NO:		Number of Boxes:
Requestor:		Center No:

Line #:	Qty:	Description: (including Cat#, Size, UOM, etc.)	GL Account Number

Reason for Return: (Mark appropriate boxes below)
Buyer Ordered Wrong	Requestor Ordered Wrong	Damaged
Vendor Shipped Wrong	Duplicate Shipment	Defective
Over Shipment	Miscellaneous	Trade In
Serial Number:

Expected Outcome: (Mark appropriate boxes below)
Exact Replacement Expected		Incorrect Item - To Keep @ N/C
Replacement on New Line(s) #		Credit Due On Line(s)#:
No Replacement Expected		Restocking Fee on New Line #:

Return to Address:

Company Name:
Street Address:
City:
State:
Zip Code:

RMA:
Vendor Contact:
Vendor Phone No:
Freight Charge
Vendor Account #:
NCI-Frederick
Shipped Via:
Shipping Conditions:

Comments:
Additional Comments:



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