Standard Truckload Bill Of Lading Form
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1Date:
STANDARD TRUCKLOAD BILL OF LADING
Page _______
SHIP FROM
Name:
Bill of Lading Number: ______________________
Address:
City/State/Zip:
BAR CODE SPACE
SID#:
FOB:
SHIP TO
CARRIER NAME: _______________________________
Name:
Location #: __________
Trailer number:
Address:
Seal number(s):
City/State/Zip:
SCAC:
CID#:
FOB:
Pro number:
THIRD PARTY FREIGHT CHARGES BILL TO:
Name:
BAR CODE SPACE
Address:
City/State/Zip:
Freight Charge Terms:
(freight charges are prepaid
unless marked otherwise)
rd
SPECIAL INSTRUCTIONS:
Prepaid ______
Collect _____
3
Party _____
Master Bill of Lading: with attached
_____
underlying Bills of Lading
(check)
CUSTOMER ORDER INFORMATION
CUSTOMER ORDER NUMBER
# PKGS
WEIGHT
ADDITIONAL SHIPPER INFO
PALLET/SLIP
(CIRCLE ONE)
Y
N
Y
N
Y
N
Y
N
Y
N
GRAND TOTAL
CARRIER INFORMATION
PACKAGE
HANDLING UNIT
COMMODITY DESCRIPTION
QTY
TYPE
QTY
TYPE
WEIGHT
H.M.
Commodities requiring special or additional care or attention in handling or stowing must be so marked
and packaged as to ensure safe transportation with ordinary care.
(X)
RECEIVING
STAMP SPACE
TOTAL
Where the rate is dependent on value, shippers are required to state specifically in
writing the agreed or declared value of the property as follows:
COD Amount: $ ______________________
___
Fee Terms:
Collect: ___ Prepaid:
“The agreed or declared value of the property is specifically stated by the shipper to be
not exceeding _________________ per ___________________.”
___
Customer check acceptable:
NOTE Liability Limitation for loss or damage in this shipment may be applicable. See 49 U.S.C.
§
14706(c)(1)(A) and (B).
RECEIVED, subject to individually determined rates or contracts that have been agreed upon in
The carrier shall not make delivery of this shipment without payment of
writing between the carrier and shipper, if applicable, otherwise to the rates, classifications and
freight and all other lawful charges.
rules that have been established by the carrier and are available to the shipper, on request, and to
the terms and conditions set forth on the reverse side hereon as well as to all applicable state and
__________________________________________________
federal regulations.
Shipper Signature
SHIPPER SIGNATURE / DATE
CARRIER SIGNATURE / PICKUP DATE
Trailer Loaded:
Freight Counted:
This is to certify that the above named materials
__
Carrier acknowledges receipt of packages
__
By Shipper
By Shipper
are properly classified, packaged, marked and
and required placards. Carrier certifies
__
__
By Driver/pallets said to contain
By Driver
labeled, and are in proper condition for
emergency response information was made
transportation according to the applicable
available and/or carrier has the DOT
___ By Driver/Pieces
regulations of the DOT.
emergency response guidebook or
equivalent documentation in the vehicle.
Property described above is received in apparent good
order, except as
noted.
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