Alternate Person Mail Authorization Pickup Form Updated on: September 12, 2022 "*" indicates required fields Name* First Middle Initial Last AC Suite #* I authorize these temporary dates:* I authorize this semester:* Fall Spring Janterm I authorize this fiscal school year:* Copy of AC ID*Max. file size: 50 MB.As the above-name individual , I authorize the individual named below ( must be AC Student/STAFF/FACULTY) to receive all mail addressed to or in care of the above-named individual. Including all mail, packages, & certified. I understand that this is only valid for the time period authorized above, and will remain in effect for that full time period unless I cancel in writing. I assume all responsibility for loss or damages of the mail/packages after it is delivered to the individual authorized on this form. Signature* Name* First Middle Initial Last The authorized individual must provide campus ID each time mail is picked up. The mail will be signed out under the authorized individual’s name with no exceptions.