International Confirmation of Receipt

International Confirmation of Receipt

Humanitarian Aid Shipment
Organization Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Container Number*
Seal Number*
Please upload Bill of Lading:*

Cancelof
I hereby confirm that we have received the donated cargo as listed in the associated packing list. This shipment was received on Date in the city of enter city name and country of enter country name .
I hereby confirm that we have received the donated cargo as listed in the associated packing list with the exception of any discrepancies noted below.*
Shipment Received Date*

MonthDayYear
Date
City of Receipt*
Country of Receipt*
Any damages or discrepancies?*

YesNo
List any items damaged or any discrepancies*
Did you have any problems with local customs?*

YesNo or N/A
Enter any problems with local customs:*
Digital Signature*
Title*
Email*
example@example.com
Should be Empty: