Delivery Recipient Form
Address Map Locator
Autocompleted Address
Detected Location
Deriver Details
Date of Delivery
*
-
Month
-
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Driver Name
*
GB Staff
ID Number
*
Delivery Docket Number
*
Collection Point
*
Delivery Point
*
Recipient Customer Details
Recipient Full Name
*
Recipient Company Name
*
Received Products in good condition?
*
Yes
No
Damaged
Extra Details
Take Close Up Photo Straight Angle if goods damaged.
Upload file or photo. Use smart phone to take photo.
Take Close Up Photo Angle Right if goods damaged.
Upload file or photo. Use smart phone to take photo.
Take Close Up Photo Angle Left if goods damaged.
Upload file or photo. Use smart phone to take photo.
Take Photo Complete of goods if damaged.
Upload file or photo. Use smart phone to take photo.
Take Photo Complete of box if damaged.
Upload file or photo. Use smart phone to take photo.
Signature
*
Submit Form
Extra Information:
Should be Empty: