Transportation Security
Administration
Shipper’s Security Endorsement
“I certify that this shipment does not contain any unauthorized explosives,
destructive devices, or hazardous materials. I consent to a search of this shipment.
I am aware that this endorsement and original signature, along with other
shipping documents, will be retained on file for at least thirty days “
Shipper’s / Company Name: Date:
Signature of Shipper or
Authorized Representative:
Print / Type Name of Individual
Whose Signature Appears as
Shipper or Authorized
Representative:
Matching Photo on ID Indicate: YES NO
Type of first personal
Identification reviewed:
Number appearing on ID:
Type of second personal ID
Reviewed(if first was not a
Government issued photo ID:
Matching Photo ID? Indicate: YES NO
Number appearing on ID:
Name of person from whom
Shipment was accepted, if
Different from the shipper: