Biofertilizer Acceptance Form
Please complete this form to confirm the receipt and inspection of biofertilizer shipments.
Supplier Name
*
Supplier Contact Person
*
Supplier Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date and Time of Delivery
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Biofertilizer Type
*
Please Select
Liquid
Granular
Powder
Other
Batch/Lot Number
*
Quantity Received (kg or liters)
*
Condition of Packaging Upon Arrival
*
Intact
Damaged
Leaking
Other
Inspection Checklist
*
Rows
Pass
Fail
Correct labeling
1
2
No contamination
3
4
Proper odor/appearance
5
6
Within expiry date
7
8
Any Non-Conformities or Issues Observed?
Additional Comments or Notes
Name of Recipient (Person Accepting Delivery)
*
First Name
Last Name
Recipient's Signature
*
Submit Acceptance
Submit Acceptance
Should be Empty: