Package Pickup ID Verification Checklist Form
Package Pickup ID Verification Checklist Form — Use this form to verify a person's identity before releasing a package. Do not collect sensitive identifiers. Complete all checklist steps for secure and compliant package release.
Full Name of Recipient
*
First Name
Last Name
Recipient's Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Type of ID Presented
*
Please Select
Driver's License
Employee Badge
Student ID
Other (specify below)
If 'Other', specify the type of ID presented
Last 4 Digits of ID (Do not enter full ID number)
*
Package Reference Number or Tracking Code
*
Staff Member Completing Verification
*
First Name
Last Name
Date and Time of Pickup
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Does the recipient's appearance match the photo on the ID?
*
Yes
No
Staff Signature (draw your signature)
*
Complete Verification
Complete Verification
Should be Empty: