Dd Form 1659 - Application For U.s. Government Shipping Documentation/instructions printable pdf download

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)

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

ITEM NO.

PKG/COS

(For all package sizes show dimensions in INCHES.)

(Pounds)

(Feet)

(1) NO.

(2) TYPE

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.

Adobe Professional 7.0

Dd Form 1659 - Application For U.s. Government Shipping Documentation/instructions

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