The Bill of Lading with a Supplement form serves as a crucial document in the shipping and transportation industry, providing a detailed record of the goods being transported. This form not only outlines the terms and conditions of the shipment but also includes additional information that may be necessary for specific transactions. Understanding its components is essential for both shippers and carriers to ensure compliance and facilitate smooth operations.
Date:
BILL OF LADING
Page 1 of ______
SHIP FROM
Name:
Bill of Lading Number:__________________
Address:
City/State/Zip:
B A R C O D E S P A C E
SID#:
FOB: o
SHIP TO
CARRIER NAME: _________________________________
Location #:____
CID#:
FOB:
o
THIRD PARTY FREIGHT CHARGES BILL TO:
SPECIAL INSTRUCTIONS:
Trailer number:
Seal number(s):
SCAC:
Pro number:
Freight Charge Terms:
Prepaid ________
Collect _______ 3rd Party ______
oMaster Bill of Lading: with attached
(check box) underlying Bills of Lading
CUSTOMER ORDER NUMBER
# PKGS
CUSTOMER ORDER INFORMATION
WEIGHT
PALLET/SLIP
ADDITIONAL SHIPPER INFO
Y OR N
GRAND TOTAL
CARRIER INFORMATION
HANDLING UNIT
PACKAGE
QTY
TYPE
H.M.
(X)
COMMODITY DESCRIPTION
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.
LTL ONLY
NMFC #
CLASS
R E C E I V I N G
S T A M P S P A C E
Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or
COD Amount: $____________________
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
Fee Terms: Collect: ¨
Prepaid: o
__________________ per ___________________.”
Customer check acceptable: o
NOTE Liability Limitation for loss or damage in this shipment may be applicable. See 49 U.S.C. - 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
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.
Trailer Loaded: Freight Counted:
p By Shipper p By Shipper
p By Driver p By Driver/pallets said to contain
pBy Driver/Pieces
CARRIER SIGNATURE / PICKUP DATE
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.
SUPPLEMENT TO THE BILL OF LADING Page _________
Bill of Lading Number: __________________
CUSTOMER ORDER NUMBER # PKGS WEIGHT
PAGE SUBTOTAL
QTY TYPE
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.
When dealing with the Bill of Lading with a Supplement form, it’s essential to understand its purpose and how to fill it out correctly. Here are some key takeaways to guide you:
By following these takeaways, you can effectively manage your shipping process and ensure smooth transactions.
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Completing the Bill of Lading with a Supplement form is essential for ensuring accurate documentation of your shipment. This form requires careful attention to detail, as it captures important information about the goods being transported. Follow these steps closely to fill out the form correctly.
After filling out the form, make copies for your records and submit the original to the carrier. Timely submission is crucial to ensure that your shipment proceeds without complications.