Bill of lading
Straight bill of lading, short form. Not negotiable.
Ship from
Carrier
- Name
- SCAC
- Trailer
- Seal
Ship to
Freight charge terms
PrepaidCollectThird party
Freight charges are prepaid unless marked otherwise.
Third-party freight charges bill to
Special instructions
| HU qty | Type | Pieces | Weight (lb) | HM | Commodity description | NMFC | Class |
|---|---|---|---|---|---|---|---|
| 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: the agreed or declared value of the property is specifically stated by the shipper to be not exceeding per .
Note: liability limitation for loss or damage in this shipment may be applicable. See 49 U.S.C. ยง 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.
Shipper
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.
Signature and date
Loading
Trailer loaded
By shipperBy driver
Freight counted
By shipperBy driver
Carrier
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.
Signature and pickup date