Shipping of Dangerous Goods Notification

NOTE: The notification of dangerous goods shipment form must be submitted to EHRS for each package you ship. It is also required that personnel who package dangerous goods for shipment receive training. This is a Temple University requirement and is also mandated by Federal and International laws. The Environmental Health and Safety Department provides this training free of charge for Temple employees. If you have any questions on this form or need training information please contact EHRS.
Shipper's Name*
Shipper's Department*
Shipper's Phone Number*
Shipper's E-mail Address*

A copy of this request will be sent to this e-mail address.
Emergency Contact: InfoTrac
Emergency Contact Phone Number*
If shipment is being delivered inside the United States or Canada, choose 800-535-5053. If being delivered outside of the United States or Canada, choose either 1+352-323-5300 or 1+352-323-1991.
Material(s) being shipped*
Please provide the Proper Shipping Name and other details. If shipping Dry Ice, also include the Tare Weight of the dry ice in kilograms.
Carrier's Name*
Other Carrier*

If Carrier's Name is Other, provide name here.
Carrier's Tracking Number for this Shipment*
Destination Address*
City State / Province / Region ZIP / Postal Code Country
Environmental Health and Radiation Safety will only use the provided information to appropriately respond to your request. EHRS will not sell your information or use it for marketing purposes. Please contact us at 215-707-2520 or ehrs@temple.edu with any questions about how your information is used.