Peer Package Pickup- I want someone else to pickup my package, please

If you would like to authorize someone else to pick up a package for you, review and complete this form. Once processed you and the designated person will be emailed a barcode authorizing the Proxy to pick up the Package.

If this process isn't followed, the package cannot be released to an individual other than the person's name on the shipment.

1Information on Original Shipment > 2Proxy NOT Authorized
Name on Shipment (Must match exactly) Name on Shipment (Must match exactly) First Last
Copy and Paste from Order, if needed.
Email (university email required)
NetID
What is your Mailing Address? Please record the Building Name - Room Number

Must match shipment on package.
Tracking Number (Remember to treat this information as private information, only provide this to others you know and trust).

List on Separate Lines any Tracking Numbers

Tracking Numbers must match shipments
I authorize the MPC to surrender packages to the person below, taking full responsibility for this shipment.

I authorize the MPC to surrender packages to the person below, taking full responsibility for this shipment. I authorize this shipment to be given to the person below: