Accountable Mail Pickup Request Form



Pickup From: 
Department: 
Building: 
Room #: 
Contact Person: 
(require signature from contact at time of pickup)
Backup Contact Person
(optional - only ONE full name allowed)
Security Bag
(Required)
Phone Number: 
Email: 
Additional Email: 
 Help!
Notes*: 

*Notes are for office use only, they
are not viewable by mail service.

Deliver To:
 
Bursar's Office  
IU Foundation
 
Other: