Shipper’s Freight Bill of Lading

Shipper & Carrier Information
Shipper Name Carrier Name
Shipper Address Carrier Address
Shipper Contact Carrier Contact
Consignee Information
Consignee Name
Consignee Address
Consignee Contact
Freight Details
Bill of Lading No. Date
Purchase Order No. Pro Number
Reference No. Carrier SCAC
Shipment Details
Number of Packages Type of Packaging Description of Goods NMFC No. Class Weight (lbs) Hazmat
Declared Value
Value
Special Instructions
Additional Information
Shipper’s Signature
Date
Carrier’s Signature
Date