HTML Preview Bill Of Lading Sample page number 1.
II. The Standard Bill of Lading Form
GS1 US (VICS) Standard BOL: http://www.gs1us.org/, then click Logistics for complete BOL guideline information
Date: BILL OF LADING Page SUPPLEMENTAL BAR CODE AREA
SHIP FROM Bill of Lading Number:
Name:
Address:
City/State/Zip:
SID#:
FOB:
CARRIER NAME:
SHIP TO Trailer number:
oL:emaN cation #: Seal number(s):
Address: SCAC:
City/State/Zip: Pro number:
CID#:
FOB:
THIRD PARTY FREIGHT CHARGES BILL TO:
Name:
Address: Freight Charge Terms: (freight charges are prepaid
unless marked otherwise)
City/State/Zip: Prepaid _____ Collect _____ 3
rd
Party _____
SPECIAL INSTRUCTIONS:
(check box)
Master Bill of Lading: with attached
underlying Bills of Lading
CUSTOMER ORDER INFORMATION
CUSTOMER ORDER NUMBER # PKGS WEIGHT PALLET/
SLIP
ADDITIONAL SHIPPER INFO
Y N
Y N
Y N
Y N
GRAND TOTALS
CARRIER INFORMATION
HANDLING UNIT PACKAGE
COMMODITY DESCRIPTION LTL ONLY
QTY TYPE QTY TYPE WEIGHT H.M.
(X)
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 Section 2(e) of NMFC Item 360
NMFC # CLASS
RECEIVING STAMP AREA
GRAND TOTAL
Where the rate is dependent on value, shippers are required to state specifically in
writing the agreed or declared value of the property as follows:
COD Amount: $ ____________________
“The agreed or declared value of the property is specifically stated by the shipper
to be not
exceeding _______________________ per
___________________________________.”
Fee Terms: Collect: Prepaid:
Customer check acceptable:
NOTE Liability Limitation for loss or damage in this shipment may be applicable. See 49 U.S.C. ß 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
Trailer
Loaded:
Freight Counted:
CARRIER SIGNATURE / PICKUP 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.
By
Shipper
By Shipper
By Driver/pallets said to
contain
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.
Property described above is received in good order, except as noted.
______________________________
_
By
Driver
By Driver/Pieces _______________________________________