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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: Project 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 Replacements Outcome (Please choose at least one)
Exact Replacement Expected
No Replacement Expected
Replacement on New Line(s) # 
Expected Accounting Outcome (Please choose at least one)
Credit Due On Line(s)#:  Incorrect Item - To Keep @ N/C
No Credit Due Restocking Fee on New Line #: 
Return to Address:
Company Name:
Street Address:
Zip Code:
Vendor Contact: 
Vendor Phone No:
Freight Charge  
Vendor Account #:
Shipped Via:
Shipping Conditions:
Additional   Comments: