Loadsheet Variance Form

Loadsheet Variance Form
Sales Rep Name: *
Route #: *
Email Address: *
Phone:
Delivery Date: *

Month Day Year
Was everything okay with your order?: *

Yes No
Please list the Julian code for the product that you recieved instead of the product you requested. The Julian code is listed below the date code, after the time stamp.
Julian Code for Product Received:
If the case count is incorrect or if there is a quality concern, please list the date/machine code in the comments section.
Comments:
ATTENTION: PRINT a copy for your records before sending if you would like one. Form will NOT email you a copy. Please dismiss if form tells you it was received as spam.
Should be Empty: