Fillable Form Co202/616-Fx - Fedex Uniform Straight Bill Of Lading printable pdf download

UNIFORM STRAIGHT BILL OF LADING ORIGINAL---NOT NEGOTIABLE

SUBJECT TO THE TERMS AND CONDITIONS OF THE UNIFORM BILL OF LADING --- QUESTIONS? CALL 1.866.393.4585

Date

Purchase Order #

Shipper #

OPTIONAL: You may select a money-back guarantee

REQUIRED: Please select a service type

delivery (charges and tariff limitations may apply).

FedEx Freight

Priority

A.M. Delivery

Close of Business Delivery

FedEx Freight

Economy

SHIPPER

CONSIGNEE

(from) Please provide ZIP codes and phone numbers.

(to)

Shipper

FXF Acct. #

Consignee

FXF Acct. #

Attn. to

Area Code Phone Number

Attn. to

Area Code Phone Number

Address

Address (Store, Dept., Ste., Flr., Apt., Div.)

Address

City

State/Province

ZIP/Postal Code

Country

State/Province

ZIP/Postal Code

Country

Optional or Additional Service Fees and Charges  Liftgate  Inside Pickup  Limited Access

Optional or Additional Service Fees and Charges  Liftgate  Inside Delivery  Limited Access

Shipper Bill of Lading #

 Custom Delivery Window:

Special Instructions

BILL FREIGHT CHARGES TO (if different than above):

Name

FXF Acct. #

Mailing Address

City

State

ZIP/Postal Code

Country

Area Code

Phone Number

C.O.D.

Freight charges are

PREPAID

unless

The letters “C.O.D.” must appear in box before consignee’s name above.

 USD

marked collect.

C.O.D. funds to be collected as:

 Certified Funds

 Company Check

 Personal Check

 CAD

CHECK BOX IF COLLECT



C.O.D. fee to be paid by:

 Shipper

 Consignee

AMOUNT

REMIT C.O.D. TO (if different than shipper above):

Name

Mailing Address

City

State

ZIP/Postal Code

Country

Country Code Area Code

Phone Number

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 property described below, in apparent good order, except as noted (contents and condition of contents of packages unknown) marked, consigned and destined as shown hereon, 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, and the conditions of the FXF 100 Series Rules Tariff, or otherwise referenced, which are hereby agreed to by the shipper and accepted for himself and his assigns.

CUBE

KIND OF PACKAGE, DESCRIPTION OF ARTICLES, SPECIAL MARKS AND EXCEPTIONS

WEIGHT IN LBS.

NMFC ITEM #

CLASS

HANDLING

H/U PKG.

PIECES

(

)

optional

(X)

(subject to correction)

UNITS (H/U)

TYPE

(subject to correction)

TOTAL H/U:

MARK “X” OR “RQ” IN THE HM COLUMN TO DESIGNATE HAZARDOUS MATERIALS OR REPORTABLE QUANTITY AS DEFINED IN DOT REGULATIONS.

FOR INTERNATIONAL SHIPMENTS INDICATE BROKER NAME, FAX AND PHONE NUMBERS.

area code

HM EMERGENCY CONTACT PHONE NUMBER (_______) ______________________

AREA CODE

EEI/SED Number or Exception ____________________________

Phone # (_______) ___________________

CUSTOMER REGISTERED W/EMERGENCY RESPONSE INFO. PROVIDER or CONTRACT #

AREA CODE

___________________________________________________________________

Broker Name _________________________________________

Fax # (_______) _____________________

NOTE (1) Where the rate and carrier’s liability for loss or damage may be dependent on value, shippers

FOR FREIGHT COLLECT SHIPMENTS

must state specifically in writing the agreed or declared value of the property as follows: “The agreed

Subject to Section 7 of conditions of applicable Bill of Lading. If this shipment is to be delivered to the consignee,

or declared value of the property is specifically stated by the shipper to be not exceeding________

without recourse on the consignor, the consignor shall sign the following statement. The carrier may decline to

per_________.”

make delivery of this shipment without payment of freight and all other lawful charges.

Note (2) liability limitation for loss or damage on this shipment shall be applicable as provided by

contract or in the current NMFC or this carrier’s governing tariffs. See FXF 100 Series Rules Tariff

Consignor Signature _______________________________________________________________________

for complete limited liability provisions. Carrier’s maximum standard liability is limited to $25 per pound

per package for NEW articles and $.50 per pound per package (or its equivalent in Mexican Pesos (MXN)

SHIPPER CERTIFICATION

or Canadian Dollars (CAD), at the rate of exchange which is in effect at the place and on the date of

I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping

shipment) for USED or RECONDITIONED articles. In no case shall carrier liability exceed $100,000 per occurrence

name, and are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport

(or its equivalent in MXN or CAD at the rate of exchange which is in effect at the place and on the date

according to applicable international and national governmental regulations.

of shipment) for NEW articles or $10,000 per occurrence (or its equivalent in MXN or CAD at the rate of

exchange which is in effect at the place and on the date of shipment) for USED or RECONDITIONED articles.

Shipper Signature ___________________________________________________ Date ________________

For availability and limits of excess liability coverage and applicable rates and charges, please refer to FXF 100

CARRIER CERTIFICATION

Series Rules Tariff. Not selecting an additional coverage option is considered to be a waiver of same and standard

liability coverage will apply.

Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response information

 Articles are NEW, and require Excess Liability Coverage in the amount of _______________

was made available and/or carrier has the DOT emergency response guidebook or equivalent document in the vehicle.

oUSD o CAD oMXN per olb. or okg. Additional charges will apply.

DATE

DRIVER/EMPLOYEE NUMBER

PIECE COUNT

TRAILER #

 Articles are USED or RECONDITIONED and require Excess Liability Coverage. Additional charges will apply.

NOTE (3) 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. See Sec. 2(e) of NMFC Item 360.

FedEx Freight

Create your next Bill of Lading online at

CO202/616-FXF

0023776PM

Form Co202/616-Fx - Fedex Uniform Straight Bill Of Lading

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