DETAILED INSTRUCTIONS FOR FORM COMPLETION

Pick Up Address

Name: Shipper’s complete first and last name

Pickup Street Address:

• Address Line 1: House number and street of pick up location
• Address Line 2: Suite, Apt, or PO Box (if applicable) of pick up location
• City: City of pick up location
• State: State code of pick up location
• Zip code: Zip code of pick up location
• Country Code: US (prefilled)

Phone: Phone number of shipper

Email: Email address for shipping notification

Your Clinic’s OR Provider’s Name: Clinic OR healthcare provider that ordered the Tempus test

Schedule Pickup

Date:  Preferred pick up date

# of packages: Number of packages to be picked up

Earliest Time: Input earliest time that FedEx would be able to pick up. Must be 12 hours from the time you submit the FedEx pickup form

Latest Time: Input latest time that FedEx would be able to pick up. This will default to 4 hours from the Earliest Pickup time

Pick up notes: Additional instructions for FedEx pickup driver

Tracking number: FedEx tracking number on label (see example below)