Will-Call Customer Pickup Authorization Form

Authorizes release of goods for customer or carrier will-call pickup and records order reference, identity verification, dock handoff details, and signature.

Pickup Request Summary

• Order Reference
  Enter the sales order, work order, or pickup reference used to locate the goods.
• Pickup Date
  Select the date the goods are scheduled to be released.
• Pickup Type
  Choose who is collecting the goods.
• Number of Items / Packages
  Enter the count of packages, pallets, or line items being released.

Pickup Party Verification

• Pickup Party Name
  Name of the person or company representative receiving the goods.
• Company Name
  Optional if the pickup is on behalf of a company.
• ID Type
  Select the ID presented at the dock for verification.
• ID Last 4 Digits
  Record only the last 4 digits of the ID for the audit trail. Do not collect full ID numbers.
• Vehicle or Trailer Number
  Optional vehicle or trailer identifier used for the pickup.

Release Authorization

• Authorization Confirmed
  Confirm that the pickup party is authorized to receive the listed goods.
• Goods Condition at Release
  Select the condition of the goods at the time of handoff.
• Exception Notes
  Describe any shortages, damage, missing paperwork, or other release exceptions.
• Release Time
  Record the time the goods left the dock.

Dock Signature and Acknowledgment

• Pickup Signature
  Signature of the person accepting the goods at the dock.
• Printed Name
  Print the name of the person signing for the pickup.
• Dock Staff Name
  Name of the employee releasing the goods.
• Submission Acknowledgment