Hazardous Materials Cargo Booking Document
Shipment Details
Consignor (Shipper):
Consignee:
Date:
Origin:
Destination:
Transport Details
Transport Mode:
Carrier Name:
Vehicle/Flight/Vessel No.:
Hazardous Material Information
UN Number
Proper Shipping Name
Class/Division
Packing Group
Quantity
Pkg. Type
Additional Info
Emergency Contact
Name:
Phone:
Declaration
Name of Declarant:
Signature:
Date:
Remarks / Instructions: