Refrigerated Freight Load Confirmation Sheet

Carrier Name

Carrier Contact

Date

Broker/Shipper

Phone

Email

Load Details

Pick Up Location

Delivery Location

Pick Up Date / Time

Delivery Date / Time

Commodities

Total Weight

Trailer Type

Required Temp (°F/°C)

Seal Number

Special Instructions

Rate and Payment

Agreed Rate

Payment Terms

Reference or Load #

Additional Information

Notes

Carrier Signature / Date

Broker/Shipper Signature / Date