Finance & Support Services

Materials Management Department

University Distribution Center
305 River Ridge Parkway
San Marcos, TX 78666
Ph: (512) 245-2294
Fax: (512) 245-2527
Materialsmgt@txstate.edu

Please complete the form below and we will schedule a pickup from your department if necessary. Thank you.

Date:

Name: *

E-mail address:

Telephone Number: *

Department & Room/Office #:

Vendor's Name: *

Shipping Company:

*Fed Ex Acct. #:

** DHL Acct #:

Reason for return: *

Cost Center #:

Fund #:

Return Authorization #:

Insured Amount:

Ship To: (as written on shipping labels):

P.O. #:

Doc. #:

Line Item #:

Quantity #:

Contents if not referenced to a Purchase Order:

Number of Cartons to be picked up: *

For Office Use Only:

(Print) Name of Faculty/Staff:

Name of Central Receiving Driver:

Finance & Support Services Division | Texas State University - San Marcos