Logistics Coordinator Setup Verification Request Form
Please complete the following to verify the logistics coordinator setup. Ensure all information is accurate before submitting.
Coordinator Full Name
*
First Name
Last Name
Coordinator Email Address
*
example@example.com
Coordinator Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Company or Organization Name
*
Location or Region Assigned
Setup Steps Completed
*
Account created
System access granted
Training completed
Contact details verified
Other
Date of Verification
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Notes or Comments
Submit Verification
Should be Empty: