EmailMe Form - Sysco Credit Request Form

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 *

Item *

Reason for Credit Request *

Product Returned with Driver?

yes

no

Expected Credit Noted on Invoice?

yes

no

Supporting Documentation (Photo/Invoice)

Providing photo(s) for damaged or spoiled product, box label and Sysco delivery sticker will speed up the time for approvals. Please include whenever possible.

? Operations is unable to process a credit or return request without the following images of each product (if multiple):
 Yellow pic label – on the outside of the box
 Full description – on the outside of the box
 Image showing damage(s)
 Expiration Date – if applicable

Additional Notes

The correct procedure is to fill out this form completely. If the request for credit is due to damage or spoilage, you need to be specific on what the issue is and you also need to attach pictures of the following:

1. The yellow picking label on the case
2. The damaged or spoiled product
3. The production/run date on the case

*If you do not fill out this form completely or attach the pictures when required, the credit may not be processed. *

Understood

Internal Use - Do Not Use on Submission

Credit Received

Yes

Date Time

MM / DD / YYYY

Credit Number (if applicable)