NCI-Frederick logo HOME  |   RESEARCH  |   CAREERS  |   CAMPUS  |   PHONE  |   CONTACT
 
NCI-F Shipping Wizard Shipping Wizard
NCI-Shipping Wizard  
spacer

Frederick National Lab Return of Goods Form

  Welcome to the Frederick National Lab 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: 
  National Cancer Institute (NCI)      National Institutes of Health (NIH)      Department of Health and Human Services (HHS)      FirstGov.gov