Vendor Refund Request

Use this form to let the office know about a refund you have requested from a vendor. For example, a case you refused from PFG due to damage or a mispick by Joshen.

Employee's Name*
First Last
Which Store?*
Date of Delivery*
Date of invoice of damaged good.
MM slash DD slash YYYY
Select Vendor*
DO NOT USE THIS FOR CRAW WASTE
Reason requesting Refund*
What item?*
"Other" Reason for refund request*
Invoice #*
Photo of invoice*
Max. file size: 200 MB.
Photo of item needing refunded*
Drop files here or

Max. file size: 200 MB, Max. files: 2.
Quantity of product needing to be refunded?*
Example: 1 case, 1 gallon, etc.
# of lbs dead*
DO NOT COMPLETE THIS FORM IF LESS THAN 5LBS - please submit a R365 waste log entry if less than 5lbs.
Total amount of refund expected?
Example: 3 cases of Napkins @ $9.99 per case= $29.97
Vendor Label Identification*
Example--BEK's yellow sticker
Drop files here or

Max. file size: 200 MB, Max. files: 3.
Crawfish Identification Tag*
Two pictures total - one each of front and back of tag
Drop files here or

Max. file size: 200 MB, Max. files: 3.
Expiration Date*
Attach an image of the expiration date and/or any lot codes/ numbers directly printed on the box and/or bag
Drop files here or

Max. file size: 200 MB, Max. files: 3.
Photo of lbs dead from 1 sack on a scale*
Please make sure the scale reading is visible
Drop files here or

Max. file size: 200 MB, Max. files: 2.
Reason(s) for loss:*
- Improper rotation
- Product is old
- Low quality product
- Other
The product has:*
- Been put aside for vendor to pick up--Clearly labeled "(VENDOR'S NAME) PICK UP"
- Been declined--sent back with the driver
- Not been received
- Been placed aside--clearly labeled "DO NOT USE" until we receive instructions form vendor on how to dispose of.
REMINDER: Do not enter this waste into R365. If all info has been received, a credit memo will be issued, deducting this cost from your live crawfish cost.
Remember that if the product is over 48 hours old, a credit may or may not be received.
Comments?

REMINDER: Do not enter this waste into R365. If all info has been received, a credit memo will be issued, deducting this cost from your live crawfish cost.