Bill of lading

Fill it in, print two copies and hand them to the driver at pickup. Nothing you type here is sent anywhere.

Straight bill of lading

Short form, not negotiable

Date

BOL number

Ship from

Name

Address

City, state, ZIP

Shipper ID / phone

Ship to

Name

Address

City, state, ZIP

Customer ID / phone

Carrier

Carrier name

USDOT 8484831 · MC 48359182 · 929-600-9200

Trailer number

Seal number(s)

SCAC

PRO / load number

Third-party bill to (if not shipper or consignee)

Name

Address

City, state, ZIP

Freight charges

Prepaid Collect Third party

Special instructions

Declared value (USD)

COD amount (USD)

COD fee terms

Collect Prepaid

Shipper signature

The goods described are in proper condition for transportation according to applicable regulations.

Signature

Carrier signature / pickup date

Carrier acknowledges receipt of packages and required placards.

Signature

Pickup date