Fillable Printable Report Of Discrepancy (Rod)
Fillable Printable Report Of Discrepancy (Rod)
Report Of Discrepancy (Rod)
REPORT OF DISCREPANCY (ROD)
SHIPPING PACKAGING
1. DATE OF PREPARATION 2. REPORT NUMBER
3. TO (Name and address, include ZIP Code)
4. FROM (Name and address, include ZIP Code)
5a. SHIPPER'S NAME
5b. NUMBER AND DATE OF
INVOICE
6. TRANSPORTATION DOCUMENT
NUMBER (GBL, Waybill; TCN, etc.)
7a. SHIPPER'S NUMBER (Purchase
order/Shipment, Contract, etc.)
7b. OFFICE ADMINISTRATION CONTRACT
8. REQUISTIONER'S NUMBER (Requi-
sition, Purchase Request, etc)
9. SHIPMENT, BILLING, AND RECEIPT DATA
10. DISCREPANCY DATA
11.
AC-
2
TION
CODE
NSN/PART NUMBER AND
NOMENCLATURE
(a)
UNIT
OF ISSUE
(b)
QUANTITY
SHIPPED/
BILLED
(c)
QUANTITY
RECEIVED
(d)
QUAN-
TITY
(a)
UNIT
PRICE
(b)
TOTAL
COST
(c)
CODE
1
(d)
12. REMARKS (Continue on separate sheet of paper if necessary)
1
DISCREPANCY CODES
2
ACTION CODES
CONDITION OF MATERIAL
C1 — In condition other than that indicated on
release/ receipt document
C2 — Expired shelf life
C3 — Damaged parcel post shipment
SUPPLY DOCUMENTATION
D1 — Not received
D2 — Illegible or mutilated
D3 — Incomplete improper or without authority
(Only when receipt cannot be properly
process)
MISDIRECTED MATERIAL
M1 — Addressed to wrong activity
OVERAGE/ DUPLICATE SHIPMENTS
O1 — Quantity in excess of that on receipt docu-
ment
O2 — Quantity in excess of that requested (Other
than unit of issue pack)
O3— Quantity duplicates shipment
PACKING DISCREPANCY
P1 — Improper preservation
P2 — Improper packing
P3 — Improper marking
P4 — Improper unitization
PRODUCT QUALITY DEFICIENCIES
Q1 — Deficient material (Applicable to Grant Aid
and FMS shipments only)
SHORTAGE OF MATERIAL
S1 — Quantity less than that on receipt document
S2 — Quantity less than that requested (Other than
unit of issue pack)
S3 — Non-receipt of parcel post shipments
ITEMS TECHNICAL DATA MARKINGS (i.e, Name
Plates, Log Books, Opening Handbooks, Special
Instructions, etc.)
T1 — Missing
T2 — Illegible or mutilated
T3 — Precautionary operational markings missing
T4 — Inspection data missing or incomplete
T5 — Serviceability operating data missing or
incomplete
T6 — Warranty data missing
WRONG ITEM (Identify requested item as a
separate copy in item 9 above)
W1 — Incorrect item received
W2 — Unacceptable substitute
OTHER DISCREPANCIES
Z1 — See remarks
1A— Disposition instructions re-
quested (Reply on reverse)
1B— Material being retained (See
remarks)
1C— Supporting supply documenta-
tion requested
1D— Material still required expedite
shipment (Not applicable to
FMS)
1E— Local purchase material to be
returned at supplier's expense
unless disposition instructions
to the contrary are received
within 15 days (Reply on re-
verse) (Not applicable to FMS)
1F— Replacement shipment requested
(Not applicable to FMS)
1G— Reshipment not required. Item
to be re-requisitioned.
1H— No action required. Information
only
1Z— Other action requested (See
remarks)
13. FUNDING AND ACCOUNTING DATA
14a. TYPED OR PRINTED NAME, TITLE, AND PHONE NUMBER OF PRE-
PARING OFFICAL
14b. SIGNATURE
15. DISTRIBUTION ADDRESSEES FOR COPIES
STANDARD FORM 364 (REV. 2-80)
16. FROM:
17. DISTRIBUTION ADDRESSEES FOR COPIES
18. TO:
Use window envelope to mail
this document. Insert name,
and address, including ZIP
Code, starting one typing
space below the left dot.
Each address line must NOT
extent beyond right dot.
Address must not exceed four
singles space typing lines.
19. IN ACCORDANCE WITH NOTICE OF DISCREPANCY ON FACE OF THIS FORM:
a. MATERIAL
HAS
BEEN
WILL
BE
SHIPPED
DOCUMENT NUMBER
NO RECORD OF SHIPMENT. RESUBMIT REPORT TO
b. PROPER OFFICE UNDER APPROPRIATE REGULATION.
AN ADJUSTMENT IN BILL-
ING HAS BEEN / WILL BE
c. PROCESSED AS A:
CREDIT DEBIT
INVOICE/BILL
d. ATTACHED
PROOF OF DELIVERY (Parcel Post
Shipments) OR EVIDENCE OF
e. SHIPMENTS ENCLOSED.
AN ADJUSTMENT IN BILLING FOR THE REPORTED DISCREPANCY WILL NOT BE PROCESSED FOR THE FOLLOWING REASON
f. WHICH IS CITED IN THE INDICATED REGULATION.
(1) REASON FOR NOT PROCESSING (2) PRESCRIBING REGULATION
(a) DISCREPANCY WAS NOT REPORTED WITHIN THE TIME
FRAMES ALLOWED AND/OR
(b) DOLLAR VALUE DOES NOT MEET THE CRITERIA PRE-
SCRIBED IN THE REGULATION OR AGREEMENT INDI-
CATED IN 19f(2)
(a) CHAPTER 5 OF THE GSA HANDBOOK. DISCREPANCIES OR
DEFICIENCIES IN GSA OR DOD SHIPMENTS, MATERIAL,
OR BILLINGS (FPMR 101-26.8)
(b) CHAP.2 AND/OR 7 OF DOD 4000.25-7-M, MILITARY STAND-
ARD BILLING SYSTEM (MILSBILLS) AND/OR DD 1513, U.S.
DOD OFFER AND ACCEPTANCE, AS APPLICABLE.
20. THE FOLLOWING DISPOSITION IS TO BE MADE OF THE REFERENCED MATERIAL:
PROCESS FOR DISPOSAL IN ACCORDANCE
a. WITH SERVICE/AGENCY DIRECTIVES.
c. RETAIN MATERIAL AT NO CHARGE.
REPRESENTATIVE WILL CALL FOR DISCUS-
b. SION CONCERNING DISPOSITION IN:
d. MATERIAL WILL BE PICKED UP IN:
DAYS
DAYS
e. SHIP MATERIAL (Specify location):
(1) GBL APPROPRIATIONS CHARGEABLE:
(2) CHARGES COLLECT-VIA:
FREIGHT EXPRESS PARCEL POST
($ postage advanced herewith.
NOTE: Please enclose postage. Material
cannot to returned Parcel Post collect.)
(3) PARCEL POST LABEL ATTACHED
(4) FREIGHT PREPAID
f. OTHER (Specify)
IF MATERIAL IS STILL REQUIRED,
21. SUBMIT NEW REQUISITION
REPLACEMENT WITH SATISFACTORY
22. MATERIAL WILL BE MADE ON OR BEFORE:
DATE
23. REMARKS (Continue on separate sheet of paper if necessary)
24a. TYPED OR PRINTED NAME AND PHONE NUM-
BER OF PREPARING OFFICAL
24b. SIGNATURE 24c. DATE
STANDARD FORM 364 BACK (REV. 2-80)
