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DEPARTMENT OF HOMELAND SECURITY
Transportation Security Administration
VENDOR SHIPPING AND RECEIVING REPORT EXTENSION
INSTRUCTIONS: This form is to be used in conjunction with TSA Form 251, Vendor Shipping and Receiving Report , when a vendor ships more than ten (10) units of sensitive and/or accountable property, including Transportation Security Equipment (TSE) to TSA. Fill out all applicable fields and attach to completed TSA Form 251.
SECTION I. Program Office Information
| Prepared By: |
| Phone Number: ( ) - |
SECTION II. Delivery Information
Delivery/Task Order Number:
SECTION III. Items Shipped ( include the main unit and each individual component by serial number)
(Name/Manufacturer/Model)
(TSE Only) SAT Date (TSE Only)
| Serial Number |
| TSA Barcode |
Previous editions of this form are obsolete
TSA Form 251-1 (8/12) rev. [File: 200.3.2]
