**CHAIN OF CUSTODY / TRANSFER CONFIRMATION**

CHAIN OF CUSTODY / TRANSFER CONFIRMATION

Please complete this form to confirm transfer of custody for materials handled by Echo Courier.
THIS FORM IS BEING USED FOR:*

PICKUPDROP- OFF
Person Receiving Item (Name & Role)*
Enter the full name and role of the individual accepting custody of the item. (Example: John Doe, Echo Courier)
Person Releasing Item (Name and Role)*
Enter the full name and role of the individual handing over the item. (Example: Jane Smith, Lab Technician)
Time of Transfer

Hour Minutes

AM/PM Option
Date of Transfer

MonthDayYear
Date
Location of Transfer
Condition of Items at Transfer
Description of Items Transferred
Signature of Transferring Party*

Clear
Signature of Receiving Party*

Clear
Additional Notes (Optional)
Swift. Steady. Secure.

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Date & Time (This field automatically records the exact date & time of submission. No action needed.)
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