EmailMeForm
Sysco Credit Request Form
Please fill out all fields completely - use one form per line item request.
PLEASE make sure these expected credits are also noted on your invoice, you may print the submission confirmation and attach to your invoice if preferred.
JJ Store #
*
Email of person submitting request
*
Date of Delivery
*
MM
/
DD
/
YYYY
Sysco Customer Number
*
Invoice Number
*
Item Number
Item Description
*
Quantity Requested
Per
Each
Case
Lb
Other
Cost Per
Total Credit Requested
*
Driver Return?
yes
no
Item
*
Received
Not Received
Damaged
Incorrect Item
Incorrect Fees
Other
Reason for Credit Request
*
Supporting Documentation (Photo/Invoice)
Add File
Please provide photo(s) for damaged or spoiled product
Additional Notes
Internal Use - Do Not Use on Submission
Credit Received
Yes
Date Time
MM
/
DD
/
YYYY
Credit Number (if applicable)
