Non-Conformance Material Return Form
Date:
Form No.:
Department:
Reported By:
Supplier Name:
Supplier Code:
P.O. Number:
Material Description:
Material Code:
Details of Non-Conformance
Non-Conformance Type:
Quantity Returned:
Details / Observations:
Returned Material Information
Batch/Lot No.
Received Quantity
Returned Quantity
Reason
Disposition / Action Taken
Disposition:
Remarks:
Prepared By:
Reviewed By:
Approved By: