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Shipment Release Authorization
Customer Instructions Additional Information
1. Print this page and use this form if you will not be home on
the day of your expected delivery but want FedEx to deliver • If your delivery is not completed due to security reasons
your shipment. or otherwise, the driver will leave a door tag detailing the
steps you can take to receive your package.
2. Please mark your preferred delivery location and sign below.
Your package(s) cannot be delivered without a valid • Direct Signature Required and Adult Signature Required
signature. packages need an in-person signature from someone at
the recipient address and are not eligible for release.
3. Please complete the Recipient Name and Address
information if it is not filled in below. • Go to fedex.com to track the status of your shipment.
4. Affix to your front door before 8 a.m. on the day of your
expected delivery.
I authorize FedEx to leave the package shipped to: At the following designated place:
Recipient Name: Front door Back door
BRIANNA THAN
Recipient Address: Other ________________________________
13803 LLANO BASIN COURT
CYPRESS, TX Immediate neighbor or building manager
ZIP code: Your neighbor or building manager must be present to sign
774291261 for the package (provide address below).
Address: _________________________________
By my signature, I am requesting that FedEx leave any eligible packages available for delivery at the location indicated above. I
release FedEx from all liability for any loss or damage that may result from leaving these packages at my request.
Print Name (First and Last Name): ______________________________________________________________________
Recipient’s Signature: ______________________________________________________________ Date: __________________
FedEx Use Only
FedEx Ground, scan this bar code: FedEx Ex press, com plete the follow ing:
Delivery Date: ____ / _____ / _______
Signature Record ID #: ______________________
3 6 1 5 8 6 4 0
Signature Record Line #: __________
Delivery Date: ____ / _____ / _______
ZIP: ______________ Terminal Number: ______