IT Requests
Item Integrity Requests
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Ad-Hoc PO outside IMP Stock Level
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Subject
Message
Detailed Description of Issue
Your email address
Your name
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Supplier ID
P21 Item ID
Item QTY
Customer ID
Reason
Select...
Is it a drop ship?
Yes
No
Source & Ship Location
Select...
Does this meet the supplier PO minimum?
Yes
No
Any documentation Requests? Certs, Specs, etc.
Optional
Is the correlating fee added to the order?
Is this order approved?
Yes
No
Not on hold, not in a quote status, approved, etc.
Order #
Order Line Notes
Optional
Yes
No
DPAS Rated?
No
Yes
End User/Contract No./Rating/Reqd Date/Qty
Optional
If Yes for DPAS Rated, please fill out information
Customer Rating-ELLSWORTH CANADA USE ONLY
-
A - 1
A - 2
A - 3
B - 1
B - 2
B - 3
C - 1
C - 2
C - 3
D - 1
D - 2
D - 3
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