Shipment Received Form

Use this form to confirm shipment is correct, has been received and is ready to be uploaded into Agemni.
Form can also be used for Clear's record of missing/damaged shipments.

Name Name First Last
Agemni Area
P10 Sales Order #

This can be found in the Order or Shipment Confirmation tat was sent to your email
Is the Shipment Damaged

Is the Shipment Damaged Yes No

If inventory has been damaged DO NOT LET DRIVER LEAVE WITHOUT PROCESSING DAMAGE CLAIM
Add Picture of Damages

Attach Files
If Damaged, please make note of damages
Shipper Damage Claim #

Driver will provide this # once he has processed claim
Is the Shipment Correct

Is the Shipment Correct Yes No

If inventory is missing DO NOT LET DRIVER LEAVE WITHOUT PROCESSING MISSING FREIGHT CLAIM
What is missing on shipment?
Missing Shipment Claim # from Shipping Company

Driver will provide this # once he has processed claim
Does Order contain Viasat equipment

Does Order contain Viasat equipment Yes No

If inventory is missing DO NOT LET DRIVER LEAVE WITHOUT PROCESSING MISSING FREIGHT CLAIM
Additional Notes