Shipment Detail Checklist

Company Name *

Email Address *

Order Number *

1. Indicate the shipping account to be billed. Please check appropriate box. *

PTS Diagnostics account
Collect (Buyer’s account)

PTS Diagnostics’ account:
• If pre-payment is required, an estimated quote will be provided and must be paid prior to shipment* Estimated Freight Quote will be provided from a single carrier
• PTS Diagnostics reserves the right to choose a carrier and must insure products in accordance with the table below.
• Shipments are FCA Origin (Whitestown, IN) or EXW Origin (Whitestown, IN)

Please see the Declared Value Criteria (Insurance) for International Shipments
Shipping on PTS Diagnostics’ Account
Sales Order Value <$1000.00 - No insurance
Sales Order Value >$1000.00 - Insure at full value
Collect (Buyer’s account) - Please provide Parcel and LTL carrier below:

Shipments are FCA Origin (Whitestown, IN) or EXW Origin (Whitestown, IN)
Enter N/A for the Carrier fields IF one selects PTS Diagnostics account

Parcel Carrier:

Please provide Carrier Name *

Please provide Carrier Phone Number *

Please provide Carrier Account Number *

Please provide Carrier's contact name and email address *

Freight Forwarder:

Please provide Carrier Name *

Please provide Carrier Phone Number *

Please provide Carrier Account Number *

Please provide Carrier's contact name and email address *

Is the order/shipment(s) to be Insured? *

Yes
No

(Selecting No indicates shipments(s) for this order will not be insured and no Declared Value will be entered.)

**If shipment value is $1,000 or more and on PTS account, insurance will automatically be added**

If Yes, please provide the Declared Value (Insurance) to enter for the shipment(s):

Declared Value (Insurance) *

2. Requested Delivery Date (Specify the date you expect the shipment to be delivered) *

3. How would you like your order shipped? Please check appropriate box. *

Palletized
Loose boxes

4. Do you require a shipping method for a product that differs from the standard PTS shipment method, i.e. do you require products to ship cold chain? Please note: A prearranged cold storage facility and refrigerated truck are required for delivery at the destination. ** (There are additional costs for this option if Yes is checked.) ** *

Yes
No

If yes, please provide the shipping method you require for your order below:

Shipping Method Required *

5. If there is a backorder, how would you like to proceed? *

Partial Shipment will be accepted
Wait and ship complete

6. All shipments will include the following: Commercial / Proforma Invoice, SED for orders greater than $2500.00, and a Packing slip *

7. Is documentation required to be stamped or apostilled/legalized/attested? *

Yes
No

If yes, please indicate which documents and the address to ship the documents below:

7. Documentation and Address *

8. Submit

Once you have filled out all the necessary fields, click on Submit to finalize your shipment details.

Make sure to follow this comprehensive checklist to ensure a smooth and hassle-free shipping process for your customers.

Parcel Carrier:

Freight Forwarder:

8. Submit

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