Palletized Freight Delivery Confirmation Slip

Date:

Delivery ID:

Time:

Shipper Information

Company Name:

Contact Name:

Address:

Phone:

Consignee Information

Company Name:

Contact Name:

Address:

Phone:

Freight Details

Pallet Count	Total Weight (kg)	Description of Goods	Condition Upon Arrival

Additional Notes

Delivered By (Driver):

Name:

Date:

Received By (Consignee):

Name:

Date: