LTL Load Confirmation Form
Carrier Name
Date
Load/Pro #
Shipper Name
Shipper Address
Shipper Phone
Consignee Name
Consignee Address
Consignee Phone
Pickup Date/Time
Delivery Date/Time
Reference #
Pieces
Weight (lbs)
Class
Commodity
Special Instructions
Rate
Accessorials
Total
Dispatcher/Contact
Contact Phone
Contact Email
Carrier Signature
Date