Package Claim Authorization Letter Form
Use this form to authorize someone else to pick up or handle a package claim on your behalf. Provide the claimant details, the authorized representative, package information, and a brief authorization statement.
Claimant Information
Claimant Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Authorized Representative
Full Name of Authorized Representative
*
First Name
Middle Name
Last Name
Relationship to Claimant
Please Select
Family Member
Friend
Coworker
Courier Representative
Other
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Package and Claim Details
Tracking Number or Claim Reference Number
*
Carrier or Delivery Company
Please Select
UPS
FedEx
USPS
DHL
Amazon Logistics
Other
Date Package Was Expected or Claimed
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Brief Description of the Issue or Reason for Claim Authorization
*
Submit Form
Should be Empty: