Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Customer Number
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Email contact (used to update claim status)
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Phone contact
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Store Ref No:
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Invoice Date
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Invoice Number
Conditions
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All security items must be claimed within 1 hr of receiving load All non Security items must be claimed with 48 hrs of receiving load Failure to provide photos of danaged goods may lead to rejected claim Written notification will be emaied once your
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Signature of Person raising claim
Product Details
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Are you claiming for damaged stock? If so, please attached photo?
-
Claim type
- SD Short Delivered
- DA Damaged
- RT Return to stock
- UB Use By Date
- OD Out of Date
- P Pricing
- RO Not charged for
- M Misc
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Use By Date
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Product Number & Description
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Invoice Page Number
- 0
- 1
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Invoice Line Number
- 0
- 1
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Carton Qty
- 0
- 1
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- 92
- 93
- 94
- 95
- 96
- 97
- 98
- 99
- 100
- 100+ pls add commet
-
Unit Qty
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
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- 45
- 46
- 47
- 48
- 49
- 50
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Value claiming
-
Returning Stock? If Not, why not?
-
Brief comment to assist with claim
Product Details
-
Are you claiming for damaged stock? If so, please attached photo?
-
Claim type
- SD Short Delivered
- DA Damaged
- RT Return to stock
- UB Use By Date
- OD Out of Date
- P Pricing
- RO Not charged for
- M Misc
-
Use By Date
-
Product Number & Description
-
Invoice Page Number
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Invoice Line Number
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Carton Qty
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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- 86
- 87
- 88
- 89
- 90
- 91
- 92
- 93
- 94
- 95
- 96
- 97
- 98
- 99
- 100
- 100+ pls add commet
-
Unit Qty
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Value claiming
-
Returning Stock? If Not, why not?
-
Brief comment to assist with claim
Product Details
-
Are you claiming for damaged stock? If so, please attached photo?
-
Claim type
- SD Short Delivered
- DA Damaged
- RT Return to stock
- UB Use By Date
- OD Out of Date
- P Pricing
- RO Not charged for
- M Misc
-
Use By Date
-
Product Number & Description
-
Invoice Page Number
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
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- 19
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- 26
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- 29
- 30
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- 33
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- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Invoice Line Number
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Carton Qty
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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- 50
- 51
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- 84
- 85
- 86
- 87
- 88
- 89
- 90
- 91
- 92
- 93
- 94
- 95
- 96
- 97
- 98
- 99
- 100
- 100+ pls add commet
-
Unit Qty
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Value claiming
-
Returning Stock? If Not, why not?
-
Brief comment to assist with claim
Product Details
-
Are you claiming for damaged stock? If so, please attached photo?
-
Claim type
- SD Short Delivered
- DA Damaged
- RT Return to stock
- UB Use By Date
- OD Out of Date
- P Pricing
- RO Not charged for
- M Misc
-
Use By Date
-
Product Number & Description
-
Invoice Page Number
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
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- 29
- 30
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- 33
- 34
- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Invoice Line Number
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
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- 33
- 34
- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Carton Qty
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
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- 73
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- 79
- 80
- 81
- 82
- 83
- 84
- 85
- 86
- 87
- 88
- 89
- 90
- 91
- 92
- 93
- 94
- 95
- 96
- 97
- 98
- 99
- 100
- 100+ pls add commet
-
Unit Qty
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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- 31
- 32
- 33
- 34
- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Value claiming
-
Returning Stock? If Not, why not?
-
Brief comment to assist with claim
Product Details
-
Are you claiming for damaged stock? If so, please attached photo?
-
Claim type
- SD Short Delivered
- DA Damaged
- RT Return to stock
- UB Use By Date
- OD Out of Date
- P Pricing
- RO Not charged for
- M Misc
-
Use By Date
-
Product Number & Description
-
Invoice Page Number
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- 28
- 29
- 30
- 31
- 32
- 33
- 34
- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Invoice Line Number
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
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- 21
- 22
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- 25
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- 27
- 28
- 29
- 30
- 31
- 32
- 33
- 34
- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Carton Qty
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
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- 20
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- 47
- 48
- 49
- 50
- 51
- 52
- 53
- 54
- 55
- 56
- 57
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- 59
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- 63
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- 70
- 71
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- 73
- 74
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- 76
- 77
- 78
- 79
- 80
- 81
- 82
- 83
- 84
- 85
- 86
- 87
- 88
- 89
- 90
- 91
- 92
- 93
- 94
- 95
- 96
- 97
- 98
- 99
- 100
- 100+ pls add commet
-
Unit Qty
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- 28
- 29
- 30
- 31
- 32
- 33
- 34
- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Value claiming
-
Returning Stock? If Not, why not?
-
Brief comment to assist with claim
Product Details
-
Are you claiming for damaged stock? If so, please attached photo?
-
Claim type
- SD Short Delivered
- DA Damaged
- RT Return to stock
- UB Use By Date
- OD Out of Date
- P Pricing
- RO Not charged for
- M Misc
-
Use By Date
-
Product Number & Description
-
Invoice Page Number
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- 28
- 29
- 30
- 31
- 32
- 33
- 34
- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Invoice Line Number
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- 28
- 29
- 30
- 31
- 32
- 33
- 34
- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Carton Qty
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- 28
- 29
- 30
- 31
- 32
- 33
- 34
- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
- 51
- 52
- 53
- 54
- 55
- 56
- 57
- 58
- 59
- 60
- 61
- 62
- 63
- 64
- 65
- 66
- 67
- 68
- 69
- 70
- 71
- 72
- 73
- 74
- 75
- 76
- 77
- 78
- 79
- 80
- 81
- 82
- 83
- 84
- 85
- 86
- 87
- 88
- 89
- 90
- 91
- 92
- 93
- 94
- 95
- 96
- 97
- 98
- 99
- 100
- 100+ pls add commet
-
Unit Qty
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- 28
- 29
- 30
- 31
- 32
- 33
- 34
- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Value claiming
-
Returning Stock? If Not, why not?
-
Brief comment to assist with claim
Product Details
-
Are you claiming for damaged stock? If so, please attached photo?
-
Claim type
- SD Short Delivered
- DA Damaged
- RT Return to stock
- UB Use By Date
- OD Out of Date
- P Pricing
- RO Not charged for
- M Misc
-
Use By Date
-
Product Number & Description
-
Invoice Page Number
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- 28
- 29
- 30
- 31
- 32
- 33
- 34
- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Invoice Line Number
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
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- 30
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- 32
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- 34
- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Carton Qty
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
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- 22
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- 100
- 100+ pls add commet
-
Unit Qty
- 0
- 1
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- 50
-
Value claiming
-
Returning Stock? If Not, why not?
-
Brief comment to assist with claim
Product Details
-
Are you claiming for damaged stock? If so, please attached photo?
-
Claim type
- SD Short Delivered
- DA Damaged
- RT Return to stock
- UB Use By Date
- OD Out of Date
- P Pricing
- RO Not charged for
- M Misc
-
Use By Date
-
Product Number & Description
-
Invoice Page Number
- 0
- 1
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-
Invoice Line Number
- 0
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- 50
-
Carton Qty
- 0
- 1
- 2
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- 10
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- 89
- 90
- 91
- 92
- 93
- 94
- 95
- 96
- 97
- 98
- 99
- 100
- 100+ pls add commet
-
Unit Qty
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Value claiming
-
Returning Stock? If Not, why not?
-
Brief comment to assist with claim
Product Details
-
Are you claiming for damaged stock? If so, please attached photo?
-
Claim type
- SD Short Delivered
- DA Damaged
- RT Return to stock
- UB Use By Date
- OD Out of Date
- P Pricing
- RO Not charged for
- M Misc
-
Use By Date
-
Product Number & Description
-
Invoice Page Number
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
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- 31
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- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Invoice Line Number
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
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- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Carton Qty
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
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- 74
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- 77
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- 79
- 80
- 81
- 82
- 83
- 84
- 85
- 86
- 87
- 88
- 89
- 90
- 91
- 92
- 93
- 94
- 95
- 96
- 97
- 98
- 99
- 100
- 100+ pls add commet
-
Unit Qty
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
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- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- 28
- 29
- 30
- 31
- 32
- 33
- 34
- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
-
Value claiming
-
Returning Stock? If Not, why not?
-
Brief comment to assist with claim
