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Forms

Dangerous Goods Shipment Request Form

Please complete the form and print a copy for your records, then click "Submit". If you have the MSDS, please fax to 683-6025.
1. Shipper Information

Preferred courier (check one):

2. Destination Information

3. Description of Items Being Shipped:

Physical State:

Radioactive?

Biological?

If yes, does it contain a Risk Group 2, 3, or 4 pathogen?

Container Type:

4. Special Shipping Requirements:

Cold Packs

Dry Ice Required?

5. Certification
I certify that all the information provided on this form is true and accurate.