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Vendor Performance Report

About the Contract

Please enter the information below and press submit.

Vendor Name
Contract Number (if applicable)
Pruchase Order Number (if applicable)

Rate the Service

Delivery on time Select Product Quality Select
Item meets Specifications Select Product Labeling Select
Contracted Items in Stock Select Delivery Select
Unauthorized Subsitutions Select Customer Service Select
Ability to Supply Select Invoicing Forms Select
Services Performed According to Contract Select    

Report Initiate By

Name
Title
Agency
Address
Address

City    State    Zip

Phone
Fax
Email Address

Details of the Report

If reporting a problem, please include all details necessary for investigation, and any other details you think necessary.