Transcription of Security Endorsement Form - R. E. Rogers
1 SHIPPERS Security Endorsement NAME OF EVENT:_____ SHIPPER:_____ ADDRESS:_____ _____ CONTACT NAME:_____TEL:_____ 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 will be retained on file until the shipment, along with other documents, is delivered. SHIPPER S SIGNATURE:_____DATE:_____ PERSONAL IDENTIFICATION: Photo ID: Type_____Number_____ Secondary ID: Type_____Number_____ Photo ?
2 (circle one) YES NO For FSI USE ONLY HAWB:_____DESTINATION:_____ MAWB:_____.
