Transcription of SHIPPER’S SECURITY ENDORSEMENT and
1 Effective Date: 03/21/2002 IAC #EA9901002 Box 993 Valley Forge, PA 19482 610-935-1999 FAX 610-935-1904 shipper S SECURITY ENDORSEMENT In compliance with TSA and Federal Aviation Regulations, Blue Streak Courier Service, Inc. cannot accept any package, for shipment by Air Carrier, unless we have obtained the shipper s signature on this shipper s SECURITY ENDORSEMENT and the information requested below from the shipper s authorized representative. I CERTIFY THAT THIS SHIPMENT DOES NOT CONTAIN ANY UNAUTHORIZED EXPLOSIVES, INCENDIARIES, DESTRUCTIVE DEVICES OR HAZARDOUS MATERIALS.
2 I CONSENT TO A SEARCH OF THIS CARGO/SHIPMENT. I AM AWARE THAT THIS ENDORSEMENT AND ORIGINAL SIGNATURE, ALONG WITH OTHER SHIPPING DOCUMENTS, WILL BE RETAINED ON FILE FOR AT LEAST THIRTY DAYS. BLUE STREAK COURIER SERVICE WILL ACCEPT PACKAGES FOR TRANSPORT BY PASSENGER AIR CARRIER ONLY FROM BUSINESSES WHICH MEET THE TSA STANDARD FOR A KNOWN shipper , EFFECTIVE OCTOBER 9, 2001. shipper S COMPANY NAME_____DATE_____ SIGNATURE OF KNOWN shipper OR AUTHORIZED REPRESENTATIVE_____ PRINT OR TYPE ABOVE NAME _____ TYPE OF PERSONAL INDENTIFICATION REVIEWED _____ MATCHING PHOTO ON ID?
3 (YES or NO)_____ ID# _____ TYPE OF SECOND PERSONAL INDENTIFICATION REVIEWED (if first ID was not a government or photo ID)_____ MATCHING PHOTO ON ID (YES or NO)_____ ID# _____ CARGO WILL BE ACCEPTED ONLY FROM THE KNOWN shipper OR THE AUTHORIZED REPRESENTATIVE OF THE KNOWN shipper , WHOSE NAME IS LISTED ABOVE. **SHIPPERS PACKAGES/CARGO ARE SUBJECT TO ADDITONAL SCREENING AND INSPECTION (INCLUDING X-RAY) BY AIRPORT SECURITY AND/OR PASSENGER AIR CARRIER AGENTS.