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Division of Facilities

Domestic Shipping Request

all fields marked with an * are required. 

 

Delivery Information:

 
Requested Ship Date:*
Sender's First and Last Name:*
Sender's Email:*
Department Name:*
Phone Number:*
Postage Meter Number:*
Recipient's Name:*
Address Line 1:*
Address Line 2:
Address Line 3:
City, State, Zip:*
  
Recipient's Phone Number:
Recipient's E-mail:
Insurance Amount $:
Third Party Billing Number (Acct #):
 
Which is more critical?(Time or Cost):

-Select One Checkbox either Non-Trackable or Trackable Parcels-

Non-Trackable:

N/A

1st Class

Priority Mail

Library Mail

Media Mail

Trackable Parcels:

N/A

Signature Confirmation

Ground

Priority Overnight

Standard Overnight

2-Day

List any additional services requested:
Package ID:

This is to certify that the contents of this package are properly packaged, marked, and labeled with a
TO and FROM address and are in proper condition for transportation according to the applicable
regulations of the Department of Transportation.
CMS reserves the right to inspect any package being shipped through our facility.

I certify the above statement is true.