Checklist – Delivery Location(Required)Atlanta, GACharlotte, NCCosta Mesa, CADallas, TXLas Vegas, NVNorth Hills, CAPort Chester, NYSan Leandro, CAOrder Number(Required)Vehicle #(Required)Driver Name(Required) First Last Date(Required) MM slash DD slash YYYY Delivery Time(Required) Hours : Minutes AM PM AM/PM Delivery Window(Required)PRE-CHECK BEFORE LEAVING THE COMPANYCoordinate route with shipping manager(Required) Yes No Other Number of pallets as per pick ticket(Required) Yes No Other Number of pallets loaded on the truck(Required) Yes No Other Number of slabs as per pick ticket(Required) Yes No Other Number of slabs loaded on the truck(Required) Yes No Other Material properly secured (straps)(Required) Yes No Other Delivery address and customer information confirmed(Required) Yes No Other DELIVERY CHECKRecieved By:(Required)Was customer contacted via phone call befre delivery(Required) Yes No Other Was there a special request from customer to locate the material beyond the curbside area?(Required) Yes No Other Was the liability release signed by the customer prior to going beyond the curbside area?(Required) Yes No Other Packing list information signed by customer(Required) Yes No Other Any customer complaints or concern to report(Required) Yes No Other Write customer complaints or concernAny notes added by the customer in the packing list(Required) Yes No Other Write customer complaints or concernAll material delivered without damages(Required) Yes No Other Explain what was damagedWho was notifiedWas there any property damaged during delivery (company or customer)(Required) Yes No Other Explain what was damagedWho was notifiedDelivery completed to satisfaction(Required) Yes No Other Explain what was damagedWho was notifiedCompanyThis field is for validation purposes and should be left unchanged. Return to Forms