Pick-Up Request

Detailed freight pick-up form.

Submit a complete pick-up request with shipper, consignee, and shipment details.

For immediate assistance with your shipping pickup, please call: 800-6-TIMELY (800-684-6359) or use our online chat support.

Before submitting form, please be certain contact information is filled in (Shipper, Consignee, or Other).

Fields marked with * are required

Requester Details

Requester Information

Contact name*

Email*

Phone*

Extension

Shipper

Company Name*

Additional Info

Street Address*

Country*

City*

State

Zip Code*

Contact Name*

Phone*

Fax

Email*

Reference No. for Pick Up

Pick Up Date

Shipment Ready

Dock Closes

Consignee (Receiver) Information

Company Name*

Additional Info

Street Address*

Country*

City*

State

Zip Code*

Contact Name*

Phone*

Fax

Email*

Third Party Payer Information

Company Name

Additional Info

Street Address

Country

City

State

Zip Code

Contact

Phone

Fax

Shipment Details

# of Handling Units

Type

# of Packages

Type

Weight (lbs)

Class

NMFC (Item)

Sub

Cube (cuft)

Haz

YesNo

Declared Value

Transit Time Required

Description*

Additional Services

Send Confirmation Copy

Send copy of this Pickup Request to (check all that apply)

Email the ShipperEmail the ConsigneeEmail the Third Party

Send confirmation notice when shipment is picked up to (check all that apply)

Email the ShipperEmail the ConsigneeEmail the Third Party

Also send a copy of this Pickup Request to this email address

Also send a confirmation notice when shipment is picked up to this email address

Additional Instructions

Terms & Conditions*

Yes I agree with the Terms & Conditions.No I do not agree with the Terms & Conditions.

I have read and agree to the Alliance's Terms & Conditions of Contract. Please see link at bottom of page.