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Vendor UA Supply Request Form

Northern District of California Probation/Pretrial Services

Vendors are required to monitor inventory to prevent disruption in service.
Probation and Pretrial supplies should be maintained separately.
Allow 2–3 weeks for delivery.

For questions please contact:  budgetdivision_canp@canp.uscourts.gov

 

Vendor Information
CN Number/Vendor Name: *
Ordered by: *
Phone Number: *
Shipping Information
Shipping Address: *
City: *
State:
Zip Code: *
Attention:
Order Details
UA Collection Kits
Kits On Hand
Kits Requested
(Order in increments of 100)
Specimen ID Labels
Labels On Hand
Labels Requested
FedEx Air Bills
Air Bills On Hand
Air Bills Requested
FedEx Clinical Packs
Clinical Packs On Hand
Clinical Packs Requested