Distribution By Air

a DBA Distribution Services, Inc. Company

Known Shippers Security Endorsement
(please print and complete)


I certify that this shipment does not contain any unauthorized explosives, destructive devices or hazardous materials. I consent to a search of this shipment. I am aware that this endorsement and original signature, along with other shipping documents, will be retained on file until the shipment is delivered.

Company Name ____________________________________     City ______________________________

Shippers Signature ___________________________________________     Date ____________________

Shippers Name (please print) ______________________________________________________________


Type of First Personal Identification Reviewed _________________________________________________

Matching Photo On ID? (indicate as Yes or No) _______________________________________________

Number Appearing On ID _________________________________________________________________


Type of Second Personal Identification Reviewed ______________________________________________

Matching Photo On ID? (indicate as Yes or No) _______________________________________________

Number Appearing On ID _________________________________________________________________


Instruction: Shipper must fill out signature, date and print name. Agent will receive two forms of ID, one of which must be a photo ID, and will then complete remainder of form.

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