Fillable Web Straight Bill Of Lading Form printable pdf download

OP-097 02/16

For shipment information, visit or

Web straight bill of lading—original—not negotiable

call 1-800-610-6500

SCAC: RDWY

Date:

B/L

number:

PRO Number:

Shipper number:

Trailer number:

Consignee name and address:

Shipper name:

Address:

City:

State:

ZIP code:

Destination City

State:

ZIP Code:

Origin city (if different than before):

State:

ZIP code:

Phone Number:

Invoicee:

Customer number:

Store number:

Department:

Address:

P.O. Number:

Special instructions:

City:

State:

ZIP code:

Contact Name:

Contact Phone:

Standard

Faster Standard

Standard

Accelerated

Expedited Guaranteed*

Standard Guaranteed*

By noon

By 5 p.m. or end of business day

Guaranteed Standard Service by 5 p.m. or end of business day

Time-Critical

Deliver by:

Time-Critical Hour Window

Deliver on:

Between:

Guaranteed Multiday Window

Between:

Time-Critical (fastest ground delivery – no delivery date required)

*guarantee only applies to direct service points

Quote I.D.:

All shipments are subject to individual pricing programs as published by YRC or by written transportation contracts.

COD amount: $

Cod fee:

Customer check OK for COD amount?

Prepaid

Collect

Yes

No.

Shipment dimensions

Kind of

No.

Unit of

Weight (lb)

shipping

package

pieces

measure

Description of articles, special marks and exceptions

NMFC item number

Class

Subject to correction

units

Length

Width

Height

EMERGENCY CONTACT

Shipment charges are prepaid

Total

Phone:

Name:

Contract #:

charges:

Collect

unless marked collect:

NOTE (1) Where the rate depends on value, shippers must state specifically in writing the agreed or

Note (3) Products requiring special or additional care or attention in handling or stowing must be so marked and

declared value of the property as follows:

packaged as to ensure safe transportation with ordinary care. See Sec. 2(e) of NMFC item 360.

The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding

If this shipment is to be delivered to the consignee without recourse on the consignor, the consignor shall sign

the following statement:

________________________________ per ______________________________________.

The carrier may decline to make delivery of this shipment without payment of freight and all other lawful

Note: (2) Liability limitation for loss or damage on this shipment may be

charges.

applicable. See 49 U.S.C. §14706 (c)(1)(A) and (B).

Signature of consignor

Received subject to individually determined rates or written contracts that have been agreed on in writing between the carrier and shipper, if applicable, otherwise to rates, classifications and rules that have been established by the

carrier and are available to the shipper on request.

The property described above is in apparent good order, except as noted (contents and condition of contents of packages

It is mutually agreed as to each carrier of all or any of said property over all or any portion of said route to destination and

unknown), marked, consigned, and destined, as indicated above which said carrier (the word carrier being understood

as to each party at any time interested in all or any of said property, that every service to be performed hereunder shall be

throughout this contract as meaning any person or corporation in possession of the property under the contract) agrees to

subject to all the conditions not prohibited by law, whether printed or written, herein contained, including the conditions on

carry its usual place of delivery of said destination, if on its route, otherwise to deliver to another carrier on the route to said

the back hereof, which are hereby agreed to by the shipper and accepted for himself and his assigns.

destination.

I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name and are classified, packaged, marked and labeled/placarded and are in all respects in proper condition

for transport according to applicable international and national governmental regulations.

Shipper company name:

Carrier:

Trailer #

Date:

Trailer loaded by:

Shipper

Driver

YRC FREIGHT

Driver: pallets said to contain

Freight counted by:

Shipper signature: