Uniform Straight Bill Of Lading Template
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2HOTI FF-4856
FREIGHT BILL PRO NUMBER
Uniform Straight Bill of Lading
(CARRIER USE ONLY)
ORIGINAL NOT NEGOTIABLE
TOLL FREE: 800-642-6664 • DISPATCH: 866-998-1000
Shipper hereby certifies that he is familiar with all the terms and conditions of the said bill of lading, including those on the back thereof, set forth in the classification or tariff which governs the transportation of
this shipment, and the said terms and conditions are hereby agreed to by the shipper and accepted for himself and his assigns.
DATE SHIPPED
SHIPPER:
CONSIGNED TO:
COMPANY NAME
COMPANY NAME
ADDRESS
ADDRESS
SUITE / PO BOX NO.
SUITE / PO BOX NO.
CITY
STATE
ZIP CODE
CITY
STATE
ZIP CODE
PHONE NO.
PHONE NO.
BILL TO:
ULTIMATE CONSIGNEE:
COMPANY NAME
COMPANY NAME
ADDRESS
ADDRESS
SUITE / PO BOX NO.
SUITE / PO BOX NO.
CITY
STATE
ZIP CODE
CITY
STATE
ZIP CODE
PHONE NO.
PHONE NO.
Charges will be billed to the party shown in the
CHARGES TO BE:
PREPAID
COLLECT
3RD PARTY
“BILL TO” section. If “BILL TO” section is left blank
charges will be prepaid unless marked collect.
RECEIVED, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rates, classifications and rules that have been established by the carrier and are available to the
shipper, on request. The property described below is received in apparent good order, except as noted (contents and condition of contents of packages unknown), marked, consigned and destined as shown below, which said carrier agrees to carry to destination,
if on its route, or otherwise to deliver to another carrier on the route to destination. Every service to be performed hereunder shall be subject to all the conditions not prohibited by law, whether printed or written, herein contained, including the conditions on the
back hereof, which are hereby agreed to by the shipper and accepted for himself and his assigns.
H
HM*
HM*: Mark with “”X”” to designate Hazardous Material as defined in the Department of Transportation Regulations Governing Transportation of Hazardous Materials. The use of this column is an optional method of designating hazardous materials on bills of lading
per Section 172.202(b) of the regulations governing the transportation of such materials.
REMIT C.O.D. TO:
Subject to Section 7 of conditions, if this shipment is to be delivered to
C.O.D. AMOUNT $ __________________________
C.O.D. FEE
the consignee without recourse on the consignor, the consignor shall
ADDRESS
sign the following statement: The carrier shall not make delivery of this
shipment without payment of freight and all other lawful charges.
ACCEPT CASH, CERTIFIED FUNDS
PREPAID
ACCEPT COMPANY CHECK
COLLECT
(Signature of Consignor)
Where the rate and carrier’s liability for loss or damage may be dependent on value, shippers must state
LIABILITY LIMITATIONS: Unless shipper has declared value in the adjacent box, arranged with
carrier for full value rates or otherwise contracted with carrier, carrier’s liability is limited to $7.50 per
specifically in writing the agreed or declared value of the property as follows: “The agreed value of the
pound per item, subject to a maximum of $250,000 per consolidated container (FEU).
property is specifically stated by the shipper to be not exceeding:
Arbitration applies to all shipments.
$ _______________________ Per _______________________
SHIPPER CERTIFICATION
CARRIER CERTIFICATION
CONSIGNEE CERTIFICATION
This is to certify that the above-named materials are properly classified, described,
Carrier acknowledges receipt of packages and required placards. Carrier certifies
The above described property is received and accepted in apparent good order,
packaged, marked and labeled, and are in proper condition for transportation
emergency response information was made available and/or carrier has the
count and condition verified, except as otherwise noted on carrier’s Bill of Lading/
according to the applicable regulations of the Department of Transportation.
Department of Transportation emergency response guidebook or equivalent
Delivery Receipt at time of receipt by Consignee.
document in the vehicle.
_________________________________________
_________________________________________
_________________________________________
Signature
Signature
Signature
______________________
_____________
______________________
_____________
______________________
_____________
Print Name
Date
Print Name
Date
Print Name
Date
Bill of Lading terms and conditions printed on the back hereof
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