Pick-up and Shipping Request Form

Please fill out and submit the following form.

Central Distribution Services is not responsible for freight charges/ billing.
Freight charges/ billing will be handled between the Dept./ Vendor and Purchasing Services (814-865-7561).
Upon receipt of completed form, Central Distribution Service will contact Department to coordinate pick-up.
Once Shipment Pick-up is coordinated/ scheduled with the Freight Carrier, Central Distribution Service will send you a copy of the Freight Carrier’s Bill of Lading for your records.

Note: $55/ per hour rate (per person) will apply for Non-Core Campus Locations.

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Pick-up Information

Date Submitted

Year

Month

Day

Department

Building / Location

Department Contact

Phone Number

Ship-to Information

Name

Address

City, State Zip

Attention:

Phone Number

Department Authorization/Billing Information

Authorized By (full name)

Department

Building / Room #

Phone Number

Email Address

Fax Number

Freight Preparation (i.e. Skids, Shrinkwrap, Banding)

General Ledger (i.e. 52210700-Freight) *

Cost Object *

Cost Center

Internal Order

Work Breakdown Structure

Cost Center *

Internal Order *

Work Breakdown Structure *

Freight Billing:
CDS in not responsible for actual freight fees/contact Purchasing Services for any billing questions.

CDS

CDS will utilize PSU contracted carrier. Please check here if you are utilizing any other carrier.

Please note carrier you are using if above box was checked:

Materials

Material Listing

Itemize materials above, giving a complete description, and stating in detail why the material is being shipped. Indicate approximate total size, weight of shipment, and number of cartons.

Total Weight

Value of Shipment

Exchanged For (explain)

Other (explain)

If Applicable

Purchase Order Number

RMA Number

Leave this field blank