Clearance Request Form

Dimensional shipments must be evaluated for clearance and routing options.

* required field.

Information needed to complete your form is missing or incorrect. Please complete as indicated below.
 
*
Requestor Name
 
*
Company Name
 
Address
 
City
 
State
 
ZIP
 
Phone Number
 
Fax Number
 
*
E-mail Address
 
 
Shipment Details
 
*
Origin City
 
*
Origin State
 
*
Shipper Company Name
 
*
Destination City
 
*
Destination State
 
*
Receiver Company Name
 
Receiver Company Address
 
*
Commodity
 
STCC
 
Possible Shipping Date
 
Requested Route/Delivering Carrier
 
Requested Car Type/Car Number
 
 
Shipment Dimensions
 
*
Total Length
 
Base Length
 
*
Width
 
*
Height
 
*
Weight
 
 
Center of Gravity
 
Longitudinal Center of Gravity
 
Horizontal Center of Gravity
 
Vertical Center of Gravity
 
Shape
 
 
Other Information
 
Attach Drawings, Photos
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