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CASCADIA LOGISTICAL SOLUTIONSReference Document CLS-01   |   Request Intake Worksheet

Complete only as appropriate and retain a copy with your internal project files. This blank worksheet is for general administrative use only. It is not a government-issued form and creates no contractual obligation.

SECTION A — REQUEST INFORMATION

Date ReceivedRequest / Ref. No.
Requesting Organization
Contact Name / Title
Contact E-Mail / Phone
Service / Delivery Location

SECTION B — REQUIREMENT SUMMARY

Description of Need
Requested CompletionResponse Due
Supporting References

SECTION C — INTERNAL TRACKING

Assigned ToDate Assigned
Action / Status
Next Follow-UpClosed On