Hazardous Materials Shipping Instruction Template
1. Shipper Information
Company Name
Address
Contact Person
Phone & Email
2. Consignee Information
Company/Name
Address
Contact Person
Phone & Email
3. Shipment Details
Date of Shipment
Reference/PO Number
Origin
Destination
Mode of Transport
Air
Road
Sea
Rail
4. Hazardous Material Description
Item #
Description
UN Number
Class/Division
Packing Group
Quantity & Unit
5. Packaging Details
Type of Packaging
No. of Packages
Total Weight (kg)
Instructions/Special Requirements
6. Emergency Contact Information
Name
Organization
Phone
7. Additional Notes
8. Declaration & Signature
Name
Signature
Date