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Preview - Bill of Lading with a Supplement Form

Date:

BILL OF LADING

Page 1 of ______

SHIP FROM

 

 

 

Name:

 

Bill of Lading Number:__________________

Address:

 

 

 

City/State/Zip:

 

 

B A R C O D E S P A C E

SID#:

FOB: o

 

 

SHIP TO

 

CARRIER NAME: _________________________________

Name:

Location #:____

Address:

 

 

 

 

 

City/State/Zip:

 

 

 

 

 

CID#:

FOB:

 

o

 

 

THIRD PARTY FREIGHT CHARGES BILL TO:

Name:

Address:

City/State/Zip:

SPECIAL INSTRUCTIONS:

Trailer number:

Seal number(s):

SCAC:

Pro number:

B A R C O D E S P A C E

Freight Charge Terms:

Prepaid ________

Collect _______ 3rd Party ______

oMaster Bill of Lading: with attached

(check box) underlying Bills of Lading

CUSTOMER ORDER NUMBER

# PKGS

CUSTOMER ORDER INFORMATION

 

WEIGHT

PALLET/SLIP

 

ADDITIONAL SHIPPER INFO

 

Y OR N

 

 

GRAND TOTAL

CARRIER INFORMATION

HANDLING UNIT

PACKAGE

 

 

 

 

QTY

TYPE

QTY

TYPE

 

 

 

 

WEIGHT

H.M.

(X)

COMMODITY DESCRIPTION

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.

LTL ONLY

NMFC #

CLASS

 

 

R E C E I V I N G

S T A M P S P A C E

GRAND TOTAL

Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or

COD Amount: $____________________

declared value of the property as follows:

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

Fee Terms: Collect: ¨

Prepaid: o

__________________ per ___________________.”

Customer check acceptable: o

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 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, and to all applicable state and federal regulations.

The carrier shall not make delivery of this shipment without payment of freight and all other lawful charges.

_______________________________________Shipper Signature

SHIPPER SIGNATURE / DATE

This is to certify that the above named materials are properly classified, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the DOT.

Trailer Loaded: Freight Counted:

p By Shipper p By Shipper

p By Driver p By Driver/pallets said to contain

pBy Driver/Pieces

CARRIER SIGNATURE / PICKUP DATE

Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response information was made available and/or carrier has the DOT emergency response guidebook or equivalent documentation in the vehicle.

SUPPLEMENT TO THE BILL OF LADING Page _________

Bill of Lading Number: __________________

CUSTOMER ORDER INFORMATION

CUSTOMER ORDER NUMBER # PKGS WEIGHT

PALLET/SLIP

Y OR N

ADDITIONAL SHIPPER INFO

PAGE SUBTOTAL

CARRIER INFORMATION

HANDLING UNIT

PACKAGE

 

 

QTY TYPE

QTY TYPE

WEIGHT

H.M.

(X)

COMMODITY DESCRIPTION

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.

LTL ONLY

NMFC #

CLASS

PAGE SUBTOTAL

Similar forms

  • Waybill: A waybill is a document that provides details about the shipment of goods. Like the Bill of Lading, it serves as a receipt for the cargo and outlines the terms of transportation. However, it typically does not confer ownership of the goods.
  • Freight Invoice: This document details the charges associated with the transportation of goods. Similar to the Bill of Lading, it includes shipping information, but its primary focus is on payment rather than ownership or receipt.
  • Delivery Order: A delivery order instructs a carrier to release cargo to a specified party. It shares similarities with the Bill of Lading in that both documents are used to facilitate the transfer of goods, but the delivery order is more about the release of goods rather than their transport.
  • Certificate of Origin: This document certifies where the goods were produced. While the Bill of Lading focuses on the shipment process, the Certificate of Origin is crucial for customs and trade purposes, establishing the origin of the goods.
  • Commercial Invoice: A commercial invoice is used for international shipping to declare the value of goods. It is similar to the Bill of Lading in that both are essential for customs clearance, but the commercial invoice emphasizes the sale and value of the goods.
  • Import/Export Declaration: This document is required by customs to declare the nature of goods being imported or exported. Like the Bill of Lading, it is vital for regulatory compliance, but it focuses more on the legalities of cross-border trade rather than the transportation itself.