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 Overnight FedEx Air - Priority Overnight UPS Air-Priority Overnight Authorized Return Shipment FedEx Air-3 Day UPS Air-3 Day Return Shipment Airborne - 3 Day 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: