Central Stores New Stock Form

CS-10

CENTRAL STORES STOCK NEW ITEM REQUEST 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.

Central Stores stocks inventory items used by the University community. If you would like Central Stores to stock a new item for your department, please complete and send the form below. 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 Description:

Manufacturer:

Brand Name:

Model No.:

Size/Color:

Previous Supplier:

Are substitutions acceptable? (If not, why not?)

Stock Number (if any) of item replaced:

Estimated annual demand:

Usual order quantity:

Other departments using this item:

May this item be special ordered? (not regular stock item)

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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