Shipping Exception Notification Form

    Request Date

    Receiver #:

    P.O. #:

    Vendor Name

    Vendor Number

    Vendor Phone

    Vendor Email (required)

    Packing List / Order #:

    Order Received At:

    Reason For Shipping Report:


    The Following Items Were Not Received In The ShipmentThe Following Items Were Not On The Original Purchase OrderThe Following Items Were Received in Damaged ConditionThe Following Items Were Received, But Not Shown On Your Packing SlipThe Following Shipment Is Past Its Cancellation Date Of: (place date below)

    Cancellation Date
    (reference to last option above)

    Products Descriptions:

    Vendor Item #

    Product Description

    Qty

    Cost

    Exception Description

    Additional Information:

    Resolution of Items:

    Resolution of Charges:

    VENDOR: Please acknowledge, as quickly as possible, receipt of this document. This will let us know you received it and will help us expedite a resolution. We will not hold damaged product more than 60 days.

    Image Uploading:


    * File Size Limit - 5 MB per File
    **File Format - Images need to be in a JPG or PDF format only.
    Should you have files larger than 5 MB, please contact the eCommerce Department for further assistance.

    Image Upload #1

    Image Upload #2

    Image Upload #3

    Image Upload #4

    Image Upload #5

    Image Upload #6

    Image Upload #7

    Image Upload #8

    Roger's Gardens Buyer:
    Name:

    Email:

    Notification Generated By:
    Name:

    Email:

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