TYPE OF APPLICATION (X all that apply)
APPLICATION FOR U.S. GOVERNMENT
Form Approved
GOVERNMENT BILL(S) OF LADING
SHIPPING DOCUMENTATION/INSTRUCTIONS
OMB No. 0704-0250
DOMESTIC ROUTE ORDER
Expires Jul 31, 2009
(See Instructions and Legend on back before completion)
EXPORT OR FMS SHIPMENT
The public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate, Information Management Division, 1155 Defense Pentagon, Washington, DC 20301-1155
(0704-0250). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not
display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION. SEND YOUR COMPLETED FORM TO THE APPROPRIATE
TRANSPORTATION OFFICE.
2. AGENCY ID NO.
4. FROM (Name and Address of Contractor) (Include
1. TO (Name and Address of Transportation Officer
ZIP Code)
providing shipping instructions) (Include ZIP Code)
3. CONTRACTOR'S
APPLICATION NO.
6. SPLC (Destination)
5. DESTINATION (Name and Address) (Include ZIP Code)
8. ORIGIN (Name and Address) (Include ZIP Code)
7. SPLC (Origin)
10. DODAAC
9. CONSIGNEE (Name and Address) (Include ZIP Code)
12. SHIPPER (Name and Address) (Include ZIP Code)
11. CAGE CODE
13. MARKS AND ANNOTATIONS
14. DATE SHIPMENT
15. REQ. DATE AT DESTI-
16. TP
AVAILABLE
NATION
(YYYYMMDD)
(YYYYMMDD)
17. IF CARLOAD OR TRUCKLOAD, INDICATE TYPE AND SIZE
18. SPECIAL ROUTING CONDITIONS
REQUIRED FOR EACH
19. RAIL CARRIER SERVING
c. PRIVATE SIDING (X if applicable or indicate nearest point of delivery)
a. CONSIGNOR
SCAC
SPLC
b. CONSIGNEE
SCAC
SPLC
20. HAZARDOUS MATERIALS (X and complete as applicable)
INITIALS
b. THIS SHIPMENT CONTAINS HAZARDOUS MATERIAL.
a. THIS SHIPMENT DOES NOT CONTAIN
HAZARDOUS MATERIAL.
(1) PSN
(2) UN/NA No.
21. CONTAINER AND COMMODITY DATA
UNITS
DESCRIPTION OF COMMODITY
WT. PER
CUBE PER
PKG/COS
CONTRACT
PER
(NSN No., Freight classification including UFC/NMFC Item No.)
PKG/COS
PKG/COS
c.
ITEM NO.
PKG/COS
(For all package sizes show dimensions in INCHES.)
(Pounds)
(Feet)
a.
b.
(1) NO.
(2) TYPE
d.
e.
f.
0
0
0
g. TOTALS
22. CONTRACT (PII) NUMBER
23. FOB CONTRACT TERMS
24. FOB POINT (City and State)
25. REQUESTER
a. TYPED OR PRINTED NAME (Last, First,
b. TELEPHONE NO./EXTEN-
c. SIGNATURE
d. DATE SIGNED
Middle Initial)
SION (Include Area Code)
(YYYYMMDD)
DD FORM 1659, SEP 2007
Reset
PREVIOUS EDITION MAY BE USED.
LOCAL REPRODUCTION AUTHORIZED.
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