field_email: webmaster@virginia.edu 1 FedEx 2 Complete Requestor Name * Requestor Email * Worktag(s) * # of Packages * Package Weight * Package Contents * Hazardous Materials? * Yes No Hazard Material Specification If yes, specify type Recipient or Sender? * Recipient Sender Contact Name * Company Name * Address * City * State * (Two-letter abbreviation) Zip Code * Phone * E-mail address International Country Shipment Class * Domestic International Shipment Service * Express Ground Freight Express saver 2-day Overnight Expected Ship-out Date * Return Label Necessary? * Yes No Is a shipment return label necessary? Expiration Date for Label Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Expiration date for return label: you must provide an expiration date if the return label is necessary! Shipment Insurance? * Yes No Does the shipment need insurance? Insurance Amount Amount of shipment insurance (if necessary) International Shipment Reason Catalogue / order return Commercial sale Documents Gift (unsolicited) Intra-company transfer Marked samples (no resale) Mutilated samples (no resale) Personal effects (prohibited by FedEx Ground) Personal use (new, no resale) Return for repair Return after repair Other (please specify) Please select an international shipment reason from drop-down list International Shipment Reason (Other) If international shipment reason is "other" describe below Estimated Shipment Value Other Shipment Information Printer-friendly version
