Business Services Ups Shipping Requisition Form
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1Business Services UPS Shipping Requisition Form
Ship To:
Shipper Name:
Address:
Dept. / CB / R #:
Address:
Phone:
City, State, Zip:
Date:
Shipping Method (Check one):
nd
UPS Ground (5-7 Workdays)
UPS Overnight AM
UPS 2
Day
UPS International
UPS Overnight PM
Insurance Required
Signature Required
Commercial
Residential
Payment / Shipping Information:
Cash
Check
Credit Card
Dept Acct #
Parcel #
Weight
Cost
“By my signature below I authorize all relevant charges incurred by this shipment to be charged to the above accounts. Any additional charges incurred
due to incorrect addressing on undeliverable packages will be charged to the personal or department accounts. I certify that this shipment does not
contain any unauthorized explosives, destructive devices or hazardous material. Duties and taxes will be billed to the recipient unless other
arrangements are made prior to shipment. I consent to a search of this shipment. I am aware that this endorsement and original signature, along with
other shipping documents, will be retained on file until the shipment is delivered.”
Approving Signature: ___________________________________ Printed Name: _______________________________
Business Services Use Only:
Date Entered / Initials:
Tracking #:
Business Services (WC)
Shipper (YC)
Business Services UPS Shipping Requisition Form
Ship To:
Shipper Name:
Address:
Dept. / CB / R #:
Address:
Phone:
City, State, Zip:
Date:
Shipping Method (Check one):
nd
UPS Ground (5-7 Workdays)
UPS Overnight AM
UPS 2
Day
UPS International
UPS Overnight PM
Insurance Required
Signature Required
Commercial
Residential
Payment / Shipping Information:
Cash
Check
Credit Card
Dept Acct #
Parcel #
Weight
Cost
“By my signature below I authorize all relevant charges incurred by this shipment to be charged to the above accounts. Any additional charges incurred
due to incorrect addressing on undeliverable packages will be charged to the personal or department accounts. I certify that this shipment does not
contain any unauthorized explosives, destructive devices or hazardous material. Duties and taxes will be billed to the recipient unless other
arrangements are made prior to shipment. I consent to a search of this shipment. I am aware that this endorsement and original signature, along with
other shipping documents, will be retained on file until the shipment is delivered.”
Approving Signature: ___________________________________ Printed Name: _______________________________
Business Services Use Only:
Date Entered / Initials:
Tracking #:
Business Services (WC)
Shipper (YC)
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Parent category: Business