Create a Request Screen |
Purpose |
The Create a Request - Funding Source Public screen is used to initiate a request to record vaccine wastage or return vaccines to the distributor. The Create a Request screen can be reached from the Manage Wastage and Returns screen. Note: The Create a Request screen initiates wastage and returns requests only for public-funded inventory.
Information Provided |
The Create a Request-Funding Source Public screen is broken into four sections: Creating a Request, VFC Profile, Wastage/Return Information and Vaccine Wastage or Return Tables.
Create a Request
The Create a Request-Funding Source Public section displays non-editable information, relevant to the specific Request.
Field Name |
Description |
Status |
Status of the Request. When a Request is created, the default status is Pending. |
Submit Date |
Date when the Request was created. |
Submitted By |
User who created the Request. When you create a Request, your name should be listed in this field. |
Phone Number |
Phone Number of the user who created the Request. When you create a Request, your phone number should be listed in this field. |
Email address of the user who created the Request. When you create a Request, your email address should be listed in this field. |
Contact Information
The Contact Information section will list information from your organization's VFC profile such as VFC Pin and delivery address. The delivery contact person can be a Primary Vaccine Coordinator or a Backup Vaccine Coordinator or a Main Contact if the Primary Vaccine Coordinator and Backup Vaccine Coordinator are not available. If the information in this section is not correct, please contact your administrator.
Note: The contact person selected when creating a Request will be exported as the contact when the Wastage/Return is exported to VTrckS.
Field Name |
Description |
Organization |
Organization that is creating the Request. By default, this should list your organization. |
VFC Pin |
Your organization's VFC Pin number. |
Address |
Your organization's delivery address. |
Contact Person |
You can select a contact person for your organization. |
Phone Number |
Phone Number of the selected contact person. |
Fax Number |
Fax number of the selected contact person. |
Email address of the selected contact person. |
Wastage/Return Information
The Wastage/Return Information section has radio buttons that allow you to decide whether to record a wastage or request a vaccine return.
If you click the Record a Wastage radio button, the screen will turn light blue, the Vaccine Wastage table will appear and you will need to perform the following:
Fill in the Transaction Date field. The Transaction Date is the actual date when the vaccine wastage was processed.
Select an option from the Detail dropdown. If you select the 'Other' option, you need to fill in the Explanation field.
If you click the Request a Return radio button, the screen will turn light brown, the Vaccine Return table will appear and you will need to perform the following:
Select an option from the Return Type dropdown - either Return Only or Replacement.
Select an option from the Detail dropdown. If you select the 'Other' option, you need to fill in the Explanation field.
Vaccine Wastage or Return Tables
The "Show" radio buttons allow you to view either Active, Inactive, Expired or All vaccines. Inactive and Expired vaccines are marked in red.
Field Name |
Description |
Quantity to be Wasted/Returned |
Number of vaccine doses that you want to return to distributor or record wastage for. |
Trade Name |
Trade Name of vaccine to be returned or wasted. |
Vaccine |
Vaccine to be returned or wasted. |
Manufacturer |
Manufacturer of vaccine to be returned or wasted. |
NDC |
NDC of vaccine to be returned or wasted. |
| Description | Description of vaccine to be returned or wasted. |
Lot Number |
Lot number of vaccine to be returned or wasted. |
Exp Date |
Expiration Date of the vaccine to be returned or wasted. |
Quantity on Hand |
Total number of vaccine doses. |
Functionality |
Click either the Record a Wastage or Request a Return radio button.
If you click the Record a Wastage radio button, fill in the Transaction Date field and select an option in the Detail dropdown.
If you click the Request a Return radio button, select an option from the Return Type and Detail dropdowns.
If you select the 'Other' option from the Detail dropdown, you need to enter comments in the Explanation field.
In the Vaccine table, click either the Active, Inactive, Expired or All radio button.
Fill in the Quantity to be Wasted or Quantity to be Returned field for at least one vaccine in the Vaccine table.
Click Save & Submit to submit the Request to the state, or select Return to List to return to the Manage Wastage and Returns screen. Note: After you click the Save & Submit button, you will not be able to click the Record a Wastage or Request a Return radio button. You will not be able to turn a wastage Request into a return Request (and vice versa).
These functionality buttons are on the Create a Request screen:
Button |
Description |
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The Save & Submit button will save the Request and submit it to the state for review. After you click on the Save & Submit button, you will see the Manage Wastage and Returns screen. |
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The Return to List button will return you to the Manage Wastage and Returns screen or Manage Transfers screen. |
