Patriot Shield Security - Transport Request

PLEASE FILL OUT ONE FORM PER FARM

Transport your hemp products from one location.

License or Permit Number

Location of Farm: Street Address

Location of Farm: City

Location of Farm: State

Location of Farm: ZIP Code

Pickup Location: Contact Full Name

Pickup Location: Company Name

Pickup Location: Street Address

Pickup Location: City

Pickup Location: State

Pickup Location: ZIP Code

Pickup Location: Phone Number

Pickup Location: Contact Email Address

Drop Off Location: Contact Full Name

Drop Off Location: Company Name

Drop Off Location: Street Address

Drop Off Location: Street Address Line 2

Drop Off Location: City

Drop Off Location: State

Drop Off Location: ZIP Code

Drop Off Location: Phone Number

Drop Off Location: Contact Email Address

Licensing Information (Origin, Destination, and relevant Broker's license)

Upload file

Licensing Information for the Farm that Grew the Hemp (Chain of Custody Docs and Copies of licenses must be submitted to Patriot Shield with this form below.)

Upload file

Pick Up Dates

Pick Up Time

Drop Off Date

Drop Off Time

Type of Product

Total Weight

Type of Packaging (e.g. supersacs, barrels, boxes)

Dimensions of each package (length | width | height)

Approximate weight of each package

Will packages be on pallets?

What is the total value of each product being transported?

Will packages be stacked?

Additional Pickup Location Information

Additional Drop Off Location Information

Is there a loading bay at the pickup or drop off location?

Is the location responsible for loading/unloading?

What, if any, loading devices are available at the PICK UP location? (e.g. Forklift, Bobcat, Pallet Jacks, etc.)

What, if any, loading devices are available at the DROP OFF location? (e.g. Forklift, Bobcat, Pallet Jacks, etc.)

Are there outlets available at PICK UP location? (For shrink wrapping purposes)

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FDA DISCLOSURE: Representations regarding the efficacy or safety of hemp or hemp products, including cannabidiol (CBD) or any other compound which may be present in hemp, have not been evaluated by the Food and Drug Administration (FDA). These products are not intended to diagnose, prevent, treat, or cure any disease. Please consult with your health care professional before using any hemp product. The CBD found in products listed on Hemp Dig is required to have been derived from hemp produced in the United States. Hemp Dig does not authorize or permit the sale or distribution of any products in violation of the federal Controlled Substances Act. No hemp products advertised or sold through Hemp Dig may contain more than 0.3% delta-9-tetrahydrocannabinol (THC).

Patriot Shield Security - Transport Request

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