Blank Bill Of Lading Form

Bill of Lading

CARRIER: __________________________________________

BILL DATE: ______________________________________

CONSIGNEE

SHIPPER

Consignee:

Shipper:

Street:

Street:

City / State / Zip:

City / State / Zip:

Phone Number / Contact Name:

Phone Number / Contact Name:

FOR PAYMENT, SEND BILL TO

SPECIAL INSTRUCTIONS

Company:

Special Instructions:

Street:

City/State/Zip:

NO. SHIPPING

DESCRIPTION OF ARTICLES

UNITS

PACKAGING

SPECIAL MARKS & EXCEPTIONS

WEIGHT

CLASS

NMFC

REMIT C.O.D.

C.O.D. AMOUNT: $

C.O.D. FEE

PREPAID

COLLECT

TO:

(SECTION 7)

TOTAL

CHARGES $

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

ADDRESS:

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

________________________________

(Signature of Consignor)

NOTE: W here the rate is dependent on value, shippers are

Freight Charges

required to state specifically in writing the agreed or declared

value of the property. The agreed or declared value of the

PREPAID ________

property is hereby specifically stated by the shipper to be not

exceeding

$

per

COLLECT ________

RECEIVED subject to the classifications and tariffs in effect on the date of the issue of this Bill of Lading, the property d escribed above in apparent good order, except as noted (contents and condition of packages unknown),

marked consigned and destined as indicated above which said carrier (the word carrier being understood through this contract as meaning any person or corporation in possession of the property under the contract) agrees to

carry to its usual place of delivery as said destination. If on its route, otherwise to deliver to another carrier on the ro ute to said destination. 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 as to each party at any time interested in all or any said property, that every serv ice to be performed hereunder shall be subject to all the Bill of Lading terms and conditions in the governing

classification on the date of shipment. Shipper hereby certifies that he is familiar with all the Bill of Lading terms and conditions in the governing classification and the said terms and conditions.

Shipper:

Carrier

Per

Per

Date:

Mark with “X” or “RQ” if appropriate to designate Hazardous Material s Substances as defined in the Department of Transportation Regulations governing the tr ansportation of hazardous materials. The use of this column is an

optional method for identifying hazardous materials on Bills of Lading 172.201(a)(1) (iii) of Title 4 9. Code of Federal Regulations. Also when shipping hazardous materials, the shipper' s c ertification statement prescribed in

section 172.204(a) of the Federal Regulations, as indicated on the Bill of Lading does apply, unless a specific exception from the requirement is pro vided in t he Regulation for a particular material.