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REQUEST FOR SHIPMENTSERIAL NUMBER:Instructions: Form must be completed and signed by the Administrative Officer in block 23. Requester must sign in block 14 for packages containing hazardous/infectious.

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How to fill out the HHS NIH 1884 online

The HHS NIH 1884 form is essential for the shipment of items, particularly hazardous and infectious materials. This guide provides step-by-step instructions to assist users in accurately completing the form online, ensuring compliance and proper documentation.

Follow the steps to accurately complete the HHS NIH 1884 form online.

  1. Click 'Get Form' button to obtain the HHS NIH 1884 and open it in your designated form editor.
  2. In block 1, check the appropriate box to indicate what you are requesting to ship—either government-owned property or other items, providing specific details as necessary.
  3. Fill in the requester's name in block 2 as the consignor and complete block 3 with the date of the request in MM/DD/YYYY format.
  4. Complete block 4 by identifying the IC (Institute or Center) associated with the request.
  5. In block 5, provide the building and room where the items are located, ensuring accurate information for proper logistics.
  6. Fill out block 6 with a contact phone number and block 7 with the email address for reaching the requester regarding this shipment.
  7. In block 8, indicate how the shipment will be paid by checking the appropriate option, typically 'NIH'.
  8. In block 9, enter the name of the carrier and the account number to be billed for shipping costs.
  9. Describe the items to be shipped in block 10, listing each item separately if they vary in description. Ensure to include vital details for chemical, biological, diagnostic, or infectious materials.
  10. Indicate whether the items are hazardous or infectious in block 11 by checking the appropriate box.
  11. Block 13 requires you to state the dollar value of the shipment; remember to note that stating a value does not cover insurance. Justifications should be provided in block 13 if necessary.
  12. In block 14, ensure that the shipper's hazardous material certification is completed with the requester's name, date, and required signature.
  13. Indicate how the material was packed in block 16, checking any applicable boxes regarding the packing method used.
  14. In block 17, provide the shipping address of the consignee, ensuring it does not include a P.O. Box.
  15. Fill out block 19 by indicating the date the shipment must arrive at its destination.
  16. Require a signature in block 20 from the Property Accountable Officer or relevant official for property clearance.
  17. Complete blocks 21 to 23 as needed, ensuring all officer names and signatures are included for accountability.

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Federal and international regulations require that the packager successfully complete job-specific training and be trained to ship biological products, diagnostic or infectious materials. Questions should be directed to the NIH QPSO at (301) 496-2960.

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