INVENTORY CONTROL FORM
Please attach a packing slip, receipt, or invoice.
Name/Department
CATEGORY QUANTITY TAG NUMBER SERIAL NUMBER SECTION A: Item(s) Received--Describe all items that were received (include all accessories
and parts). Use Inventory Control Continuation Form for additional items.
SECTION B: Discrepancy--Describe all problems with the shipment (damaged or missing items, portion of the shipment still on back order, etc.). Use Inventory
Control Continuation Form for additional items.
ITEM
NUMBER
SECTION C: Item(s) Location--Please provide the physical address where the
items are stored.
AGENCY CONTACT PERSON PHONE
ADDRESS WHERE ITEMS ARE
HOUSED
ADDRESS
Line Number
ITEM
NUMBER
1
2
Received By:
(Office Use Only)
Date:
(Office Use Only)
Signature Date:
SECTION D: Point of Contact--Please provide the contact information for the person
responsible for the item(s).
By signing below, I certify that I have received and inspected the item(s) listed
above.
Program/Discipline
Grant Type/
Budget Year
Purchase Order
Number(s)
Vendor Name
OFFICE USE ONLY
INVENTORY CONTROL CONTINUATION FORM
Please attach a packing slip, receipt, or invoice.
8
7
6
5
TAG NUMBERQUANTITYCATEGORYITEM
NUMBER
10
9
Date:Signature
4
3
By signing below, I certify that I have received and inspected the item(s) listed
above.
Date:
(Office Use Only)
Received By:
(Office Use Only)
SECTION B: Discrepancy--Describe all problems with the shipment (damaged or missing items, portion of the shipment still on back order, etc.). Use Inventory
Control Continuation Form for additional items.
ITEM
NUMBER
SECTION A: Item(s) Received--Describe all items that were received (include all accessories
and parts). Use Inventory Control Continuation Form for additional items.
SERIAL NUMBER