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Run: Inventory Adjustment Request Form

Request an inventory adjustment with the product, quantity, reason code, and financial impact captured in one place. Use it to document shrink, damage, mispi...

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Request Details

Request Date (required)

Date this adjustment request is being submitted.

Requestor Name (required)

Employee ID (required)

Department / Work Area (required)

If Other, specify department

Facility / Warehouse Location (required)

Product Identification

SKU / Item Number (required)

Product Description (required)

UPC / Barcode (optional)

Lot / Batch Number (if applicable)

Storage Location / Bin / Aisle (required)

Unit of Measure (UOM) (required)

If Other UOM, specify

Adjustment Details

Adjustment Direction (required)

Select whether inventory is being added to or removed from the system.

System On-Hand Quantity (before adjustment) (required)

Current quantity shown in the inventory management system.

Actual Physical Count Quantity (required)

Quantity physically counted or verified on the floor.

Adjustment Quantity (required)

The net number of units to be added or removed (positive number only; direction is set above).

Reason Code (required)

Select the primary reason for this inventory adjustment. Choose the code that most accurately describes the root cause.

If Other, describe the reason

Detailed Description of Adjustment (required)

Provide enough detail for the approver and inventory control team to understand the root cause without needing to follow up.

Financial Impact

Unit Cost (USD) (required)

Cost per unit at the UOM specified above. Use standard cost or most recent purchase price.

Total Dollar Value of Adjustment (USD) (required)

Total financial impact = Unit Cost × Adjustment Quantity. Enter as a positive number regardless of direction.

G/L Account Code (if known)

General ledger account to which this adjustment should be posted. Leave blank if unknown — accounting will assign.

Cost Center

Supporting Documentation

Photos (damage, found stock, mispick evidence)

Required for Damage and Found Stock reason codes. Attach clear photos of the product and location.

Supporting Documents (packing slips, count sheets, BOL, etc.)

Attach any relevant paperwork: bill of lading, receiving discrepancy report, cycle count sheet, or vendor correspondence.

Reference Document Number (PO, ASN, Transfer Order, etc.)

Enter the purchase order, ASN, transfer order, or work order number related to this adjustment.

WMS Transaction ID (if applicable)

Warehouse management system transaction reference for traceability.

Requestor Acknowledgment

I certify that the information provided in this request is accurate and that I have physical or documented evidence to support this adjustment. (required)

Yes No N/A

Requestor Signature (required)

Sign to confirm your identity and authorization of this request.

Signature Date (required)

Approving Supervisor / Manager Name (required)

This person will receive a notification to review and approve or reject this request.

Additional Notes for Approver (optional)

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