Request Transportation Form Use the form below to request transportation for disaster and humanitarian activities. American Logistics Aid Network will review your request and contact you to discuss your needs. Matching services are provided without fee to donors and recipients. American Logistics Aid Network is a 501(c)(3) nonprofit organization supported by generous corporate and private donors. Learn more about the companies and associations that support us at: http://alanaid.org/how-to-help/sponsor/ . Organization Name: Enter your organization’s name. Organization Type: Select the category that best describes you organization. –None–BusinessGovernmentNon-profitIndividual Crisis: Name the specific crisis for which you are making this request. If you are supporting ongoing humanitarian efforts, please say so. Contact Name: Enter the first and last name of the point of contact for this request. Email: Enter the email of the point of contact for this request. Phone: Enter the phone of the point of contact for this request. Transportation Payment: Indicate if you need donated transportation or if you have funds to pay for the services. –None–DonatedPaidDiscountedUknownOther Other Requests: Many non-profit logistics groups work together. De-duplicating demand signals is important so that we understand the totality of cargo that needs to be moved. Please let us know with what organizations you are working so that we may coordinate appropriately. End Recipient: Briefly describe your plan for distributing these items and whom they will help. Transportation Type: Select the type of transportation support you are seeking. –None–Ground TransportationAri Transportation for SuppliesAir Transportation for PersonnelOcean TransportationDon’t KnowOther Description : Briefly describe the support you are requesting. Delivery Date: By what date is this shipment needed? Origin Street Address: Address from which items are to be shipped. Origin City: From what city are you shipping? Origin State/Province: From what state / province are you shipping? Origin Postal Code: From what postal code are you shipping? Origin Contact: Contact at location from which items are to be shipped. Origin Dock: Does the shipping location have a dock? –None–The Origin Has A DockThe Origin Does Not Have A Dock Destination Street Address: To what street address are you shipping? Destination City: To what city are you shipping? Destination State/Province: To what state / province are you shipping? Destination Postal Code: To what postal code are you shipping? Destination Dontact: Contact at location to which items are to be shipped. Destination Dock: Does receiving location have a dock? –None–The Destination Has A DockThe Destination Does Not Have A Dock Items: What are you shipping? Packaging: How are the items packed? Are they on pallets, in boxes, loose? –None–PalletizedBoxesSupercasksLooseOther Number of Items: How many total items are being shipped? (include only total pallets/packages, not individual items). Size and Weight: List measurements for each package and the total weight for the shipment in pounds. Hazardous Materials: Please list any hazardous materials included in the shipments. You will need to provide MSDS for each. Special Handling: Please list any special handling requirements (need labor, equipment, etc.). Other: Please include any additional information you feel important regarding this request.