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Complaint To Vendor
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NOTICE OF COMPLAINT TO VENDOR
P.O./Contract No.
Date of Order
mm/dd/yyyy
Purchase Requisition No.
Vendor Information:
Name
Address
Department Information:
Name
Address
Late Delivery
Substitution by Vendor
Refusal of Vendor to Deliver
Inferior or Shoddy Merchandise
Delivery Made After Hours
Merchandise Not Properly Labeled
Under-shipment
Damaged Shipment
Over-shipment
Carrier Notified
Inadequate Service
Other – Explain Below in Space Provided for “Remarks”
REMARKS: This space is to be used to: (1) Elaborate on items checked above or (2) Describe additional complaints. Be accurate, specific, complete,
and factual.
