Central Stores Stock Complaint Form

CS-150

CENTRAL STORES STOCK ITEM COMPLAINT FORM

About this form: To complete and send this form online, you need to use a forms-capable web browser. When you are finished, please click on the Send button located at the bottom of the form.

If your web browser is not forms-capable, you may save the form as text, complete the form by using an editor, and send it to janice.nash@uconn.edu. Or, you may print this page and mail it to Central Stores, U-6114, or fax it to (860) 486-3061.

Please complete and send this form to report complaints regarding commodities received from Central Stores. For proper processing, all information must be provided. If you have questions, please call Central Stores, 486-3627.

NOTE: After clicking on the "SEND" button below, a receipt of the information you submitted on this form will appear on the screen.
You may print the receipt for your records.

Name:

E-mail Address:

Phone Number:

Department:

U-Box Number:

Item Number:

Date Purchased:

Reason for Complaint: (please be detailed)

NOTE: After clicking on the "SEND" button below, a receipt of the information you submitted on this form will appear on the screen.
You may print the receipt for your records.

To send this form online, please click on the Send button:

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