How to Complete a Vendor Complaint Report

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Note: to obtain a Vendor Complaint Report, please click here.

 

1a. Department Name — Enter your department name.
1b. Department Code — Enter your 2 digit department delivery code.
1c. Date of Complaint — Enter the date the problem or complaint took place.
1d. Purchase Requisition Number — If you use the Purchase Request (CPS Form 100), enter the 6 digit request number ending with the letter A.
1e. Contract Award No. — Enter the contract number (if any).
1f. Purchase Order No. — Enter your "Z" or "U" 6 digit purchase order number.
1g. Vendor Name — Enter the vendor name.
1h. Vendor Address — Enter the vendor address.
1i. Commodity or Service — Enter the commodity or service covered by this complaint
2a. Delivery — Indicate the nature of this complaint by checking the appropriate box(s).
2b. Quality — Indicate the nature of this complaint by checking the appropriate box(s).
2c. Other — Indicate the nature of this complaint by checking the appropriate box(s).