Fillable Valencia college PC Transmittal Record Form

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Valencia college PC Transmittal Record Form

On average this form takes 9 minutes to complete

The Valencia college PC Transmittal Record Form form is 1 page long and contains:

  • 2 signatures
  • 17 check-boxes
  • 22 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Valencia College

BROWSE VALENCIA COLLEGE FORMS

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TRANSMITTAL RECORD
For official use only, the proponent agency is Valencia College.
1. DEPARTMENT:
2. SHIPMENT NO:
3. TITLE / FILE IDENTIFICATION:
4. AS OF DATE:
(DD/MM/YYYY)
5. SHIPMENT DATE:
(DD/MM/YYYY)
6. NUMBER OF RECORDS TRANSMITTED:
7. PERSON TO CONTACT: (Name and telephone)
8. PRINT NAME AND TITLE OF SENDER:
9. PRINT NAME AND TITLE OF RECEIVER:
10. SIGNATURE AND DATE OF SENDER:
11. SIGNATURE AND DATE OF RECEIVER:
12. SHIPPED FROM:
13. SHIPPED TO:
RETURN RECIPT REQUESTED
(When box is checked, sign below and return copy to sender)
14. TYPE OF MEDIA TRANSMITTED: [Check mark all that apply]
HARD COPY
CD
PHOTO
BOX
15. NUMBER OF BOXES (Packages)
16. NUMBER OF ITEMS
17. METHOD OF SHIPMENT: [Check mark all that apply]
COURIER
PARCEL POST
EXPRESS MAIL
18. SPECIAL INSTRUCTIONS
19. REMARKS
PC Transmittal Record Form, OCT 2017
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Valencia college PC Transmittal Record Form

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Completed 16 May 2020

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