FedEx Package Assessment Application An assessment is neither a test nor a design. It is a consultation with a FedEx Packaging Engineer. At the end of the assessment, you will receive a report summarizing our findings, recommendations, and possible next steps. Please complete this application and email it to [email protected]. In addition to the application, please attach photos showing outer packaging, inner packaging, product, any current damage, box certificate (if available), and other relevant images. Customer Information Company: FedEx Account Number: Address: City: ZIP Code: State/Province: Country: FedEx Sales Executive: Phone: Contact Name: Business Type (check all that apply): Manufacturer Email: Distributor Retailer Third-Party Shipper Reason for Assessment Request (check all that apply) : New product/package Reduce product damage Reduce dimensional weight Sustainability Reduce packaging costs Other (explain): Temperature issues Previous testing (e.g., ISTA, ASTM): Recent packaging, product, or shipping changes (explain): Packaging preferences or restrictions for this product/packages? (e.g., Don’t use foam) If yes, please list: Yes No Current Product and Packaging Information Primary Shipment Method (check one): FedEx Express Product Manufacturer & Name: Product Description: Width Product Dimensions (in.): Length Expected Annual Shipments of This Product: Package Dimensions (in.): Length Width Packaging (check all that apply): Plastic case/tote Air bag/pillow Shrinkwrap Molded pulp Wood crate Poly bag Stretchwrap Angle board Envelope Palletized Kraft paper Banding Dry ice FedEx Ground FedEx Freight FedEx Express Freight Model #: ® Approx. value (USD): Height Weight (lbs.): Height Weight (lbs.): Flexible mailer Box/carton Newspaper Foam-in-place Cold/heat packs Corrugated box Corrugated insert Loosefill/peanuts Foam sheeting Paperboard carton Bubble pack Partitions Foam cushioning Other (explain): Customer Release and Terms I release the product and packaging information to FedEx Packaging Services for the use of a packaging assessment. I also release and agree to hold FedEx harmless for any damages or liability for loss of product or product damage stemming from information obtained from the assessment. I acknowledge and agree that FedEx will not be liable for any loss, damage, delay, misdelivery, nondelivery, misinformation, or failure to provide information caused by or resulting in whole or in part from this Assessment, unless such advice, assistance, or guidance has been approved in writing by FedEx Packaging Design and Development, and the writing expressly accepts liability in the event of a damaged shipment. I agree to the terms stated above. Name: Date: I will send a copy to [email protected], keep a copy for my records, and attach photos of the packaging and product. 02/15 0018103CP
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