University Shuttle Transport Form

1. Date of shipment 
2. Name of the originator of the shipment 
3. Phone number of originator 
4. Name of receiver of the shipment 
5. Phone number of receiver 

6. Briefly describe the contents of your shipment.
   

Print this form and attach it securely to your shipment. The shuttle driver has the right to refuse material that does not have this form attached.

Any questions regarding shipments originating from University Park should be directed to Environmental Health and Safety, 814-865-6391.

Any questions regarding shipments originating from Hershey should be directed to the Department of Safety, 717-531-7297.

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Signature of Shipper

Your signature indicates that this shipment conforms to the relevant policy mentioned above.