Local Delivery Restrictions Notice Form
Submit details about local delivery restrictions to notify and coordinate operational changes.
Location or Service Area Name
*
Detailed Address or Area Description
*
Restriction Type
*
Access Road Closure
Delivery Time Restriction
Weight/Size Limit
Permit Required
Temporary Suspension
Other
Restriction Description
*
Affected Delivery Area
*
Restriction Start Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Restriction End Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Affected Items or Order Types
*
Perishable Goods
Large Packages
Hazardous Materials
Standard Parcels
All Orders
Other
Applicable Delivery Notes or Special Instructions
Urgency or Restriction Status
*
Urgent – Immediate Attention
Scheduled
Ongoing
Resolved
Contact Person for Follow-up
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Submit Notice
Should be Empty: