Advance Shipment Assessment Form

NORTH AMERICAN EDI ASN START-UP CHECKLIST

Please complete ALL NON-OPTIONAL SECTIONS of the following Pharma ASN Start-up Checklist and forward to:

Procter & Gamble NA EDI Center of Expertise
Fax: (513) 774-1145 or E-mail: edicoe.im@pg.com

Start-up work will not begin until all non-optional questions are completed or legitimately marked "Yes." Any "No" answers for non-optional questions will prevent development of an EDI partnership until resolved. Once this checklist is received, a Procter & Gamble EDI Coordinator will contact you to exchange trading partner information.

*Represents data that is not required within the ASN transaction, but is suggested as it streamlines use of the
electronic transaction.

Customer Name:
Company Address:
Company City:
Company State/Province:
Company Zip/Postal Code:
Submitted By:
Title:
E-mail:
Phone:

EDI Infrastructure

Is your EDI Technical Support located within your company?*	Yes	No

If "No," who provides your EDI Technical Support?

Company Name:

Contact Name:

Contact E-mail:

Contact Phone:

Does your EDI Technical Support provide 24 x 7 support?*	Yes	No

If so, please provide the following:

Phone Number:

Pager Number:

Does your company's EDI system provide customization at the customer level?*	Yes	No

General EDI Information

Which of the following standards does your company utilize?

Which of the following versions does your company utilize?

Which Value Added Network (VAN) does your company utilize?* NOTE: If you do not utilize a VAN, completion of "EDI Over the Internet" Section is required.

What is your ISA Receiver ID and Qualifier?

What is your GS Receiver ID?

Whom, within your EDI department, should P&G contact to pursue the EDI startup?

Name:

Title:

Phone Number:

E-mail Address:


ASN Capability/Expansion Plans

Does your company trade the ASN transaction with any other vendors in production today?*	Yes	No

If "Yes," approximately how many?*

Is your company planning on using integrated ASN data long term?	Yes	No


Test Data Expectations

What is the flow of test data your company is expecting:

Pharmaceutical Customers: To meet the Pedigree Law requirements, Procter & Gamble transmits the following on our Pharmaceutical ASN: National Drug Code, Lot ID, Expiration Date, and Phone Number. Does your company require the receipt of UCC-128 pallet identification?	Yes	No


EDI Over the Internet

If your company does not utilize a VAN, do you communicate EDI data via the Internet?	Yes	No

If yes, complete the following: (See http://www.gs1us.org/gs1us.html for a list of companies and products.)

Communications Product Used:

Contact Name:

Contact Number:

Contact E-mail Address:

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EDI Infrastructure

General EDI Information

ASN Capability/Expansion Plans

Test Data Expectations

EDI Over the Internet