RETURN MERCHANDISE FORM
S
HIP
T
O
:
(VENDOR SHIPPING LABEL & RETURN PACKING SLIP)
NUMBER OF BOXES: [ ]
P
URCHASE
O
RDER
#:
D
ATE
:
S
HIP
V
IA
:
T
RACKING
#:
S
HIPMENT
V
ALUE
:
$
CERRITOS COLLEGE CONTACT:
MIGUEL ARIAS, LEAD, WAREHOUSING & DELIVERY
P
HONE
: (562) 860-2451 E
XT
. 2312 FAX: (562) 467-5052
RETURN AUTHORIZATION #:
R
ETURN
F
ROM
:
CERRITOS COLLEGE DISTRICT WAREHOUSE
11051 166
TH
STREET
C
ERRITOS
, CA 90703
V
ENDOR
A
UTHORIZED
R
ETURN
B
Y
:
N
AME
& T
ITLE
:
D
ATE
:
P
HONE
:
RETURN ITEM LIST:
ITEM #
QTY.
UNIT
PART #
DESCRIPTION OF RETURNED ITEMS:
REASON FOR RETURN:
Check if Item Return List is: Attached or Continued on separate sheet.
JUSTIFICATION FOR RETURN:
Incorrect item(s) Damaged item(s) Defective item(s) Core return Service Repair Warranty Repair
Other:
V
ENDOR
A
CTION
R
EQUIRED
:
Replace with correct item(s) Replace damaged/defective item(s) Cancel item(s), credit account
Special Instructions:
D
EPARTMENT
I
NFORMATION
:
DEPARTMENT DEPT. CONTACT PHONE EXT. PICKUP LOCATION # BOXES
FOR WAREHOUSE USE ONLYDO NOT WRITE BELOW THIS LINE
PICKUP/SHIPPING VERIFICATION:
WAREHOUSE CONTACT:
PICKUP BY:
CARRIER
VENDOR
DATE & INITIAL:
DATE & INITIAL:
REPLACEMENT/REPAIR DELIVERY VERIFICATION:
RECEIVED BY:
RECEIVED DATE:
A
CTION COMPLETE
NOTE OPEN ITEMS BELOW
O
PEN
I
TEMS
:
Purchasing Department: Rev. 2017-06-14 Warehouse: 1) Fold this copy and use as shipping label. 2) Make copy of form and attach to PO copy.