Package Return Or Shipment Form

PROPERTY CONTROL DEPARTMENT

PACKAGE RETURN OR SHIPMENT FORM

 To be completed in full by the department returning or shipping a package.  Attach this form to your package prior to pickup by the Receiving Department.  If you have any questions, please call Central Receiving at 6-5776.

Department: ______

Contact Name: ______

Phone Number of Contact: ______

PACKAGE IS TO BE SHIPPED BY THE FOLLOWING: (Please circle only one.)

DHL FedEx Ground UPS Ground Call Tag Issued

Airborne - Priority FedEx Air - UPS Air-Priority Authorized Overnight Priority Overnight Overnight Return Shipment

Airborne - 3 Day FedEx Air-3 Day UPS Air-3 Day Return Shipment

Other ______

Return Authorization Number ______

Package to be Insured for the Following Amount $ ______

Budget Number to be charged ______

Or Recipient Account Number to be charged ______

Please list any Inventory Control Tag Number______

Please list any serial number on the item ______

ADDRESS TO WHICH THE PACKAGE IS TO BE SENT: