Package Receiving Log Form
Log and track packages received at your facility. Please complete all fields for accurate record keeping.
Date and Time of Receipt
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Recipient Name
*
First Name
Last Name
Recipient Department or Unit
*
Sender/Delivery Service
*
Package Description
*
Tracking or Reference Number
Number of Packages
*
Package Condition Upon Arrival
*
Good
Damaged
Missing Items
Other
Location Where Package Was Received
*
Special Instructions or Notes
Name of Person Receiving the Package
*
First Name
Last Name
Signature of Recipient
*
Submit Log
Submit Log
Should be Empty: