FedEx Bill of Lading

UNIFORM STRAIGHT BILL OF LADING
Original---Not Negotiable SUBJECT TO THE TERMS AND CONDITIONS OF THE UNIFORM BILL OF LADING
Date Shippers Bill of Lading # Purchase Order # Shipper # Shipper #
Questions? Call 866.393.4585
PLACE PRO LABEL HERE

SHIPPER (from)
Shipper Address Address City Country Special Instructions
BILL FREIGHT CHARGES TO: (if different than above)
Name P.O. Box City
Carrier SCAC Code: ___________

Please provide zip codes and phone numbers. Consignee Address Address
CONSIGNEE (to)
State/Province Phone
Zip
City Country Phone
State/Province
Zip
Street State Zip
Freight charges are PREPAID unless marked collect. CHECK BOX IF COLLECT
Name City
C.O.D.
$ _________________
AMOUNT
1. 2. 3.
The letters C.O.D. must appear in box before consignees name above. C.O.D. funds to be collected as: C.O.D. fee to be paid by:
Street State Zip Phone
Certified Funds Consignee
Company Check
Personal Check
Shipper
REMIT C.O.D. TO: (if different than shipper above)
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, or otherwise referenced, which are hereby agreed to by the shipper and accepted for himself and his assigns. NO. HANDLING UNITS HM
Pieces
Pallets
(X)
DESCRIPTION OF ARTICLES, KIND OF PACKAGE, SPECIAL MARKS AND EXCEPTIONS (subject to correction)
WEIGHT IN LBS.
NMFC ITEM # CLASS (subject to correction)
CUBE OPTIONAL
( )
TOTAL HANDLING UNITS: Pieces ___________ Pallets ___________ Total ____________
MARK X IN THE HM COLUMN TO DESIGNATE HAZARDOUS MATERIALS AS DEFINED IN DOT REGULATIONS.

NOTE (1) Where the rate and carriers liability for loss or damage may be dependent on value, shippers must 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__________________.
FOR FREIGHT COLLECT SHIPMENTS

Subject to Section 7 of conditions of applicable bill of lading. If this shipment is to be delivered to the consignee, without recourse on the consignor, the consignor shall sign the following statement. The carrier may decline to make delivery of this shipment without payment of freight and all other lawful charges. Consignor Signature ______________________________________________________________________________________
SHIPPER CERTIFICATION
This is to certify that the above named materials are properly classified, described, packaged, marked, and labeled, and are in proper condition for transportation NOTE (2) Liability Limitation for loss or damage on this shipment shall be applicable as according to the applicable regulations of the Department of Transportation.
provided by contract or in the current National Motor Freight Classification, STB NMF 100 series, or this carriers governing tariffs. In no event shall carriers liability exceed $100,000 per incident. 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.
Shipper Signature _______________________________________________________________ Date ____________________
CARRIER CERTIFICATION
SINGLE SHIPMENT Circle One Y N
FXF-CO202/1102
Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response information was made available and/or carrier has the NOTE (3) Commodities requiring special or DOT emergency response guidebook or equivalent document in the vehicle.
DATE DRIVER / EMPLOYEE NUMBER & SIGNATURE

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UNIFORM STRAIGHT BILL OF LADING

Date Shippers Bill of Lading # Purchase Order # Shipper # Shipper #

Questions? Call 866.393.4585

PLACE PRO LABEL HERE

Carrier SCAC Code: ___________

City Country Phone

Street State Zip

Certified Funds Consignee

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

NMFC ITEM # CLASS (subject to correction)

TOTAL HANDLING UNITS: Pieces _____ Pallets _ Total ________

MARK X IN THE HM COLUMN TO DESIGNATE HAZARDOUS MATERIALS AS DEFINED IN DOT REGULATIONS.

FOR FREIGHT COLLECT SHIPMENTS

Shipper Signature ___________________________________________ Date

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