Intermodal Load Confirmation Sheet
Carrier Name
MC#
Date
Load Number
Shipper Information
Name
Address
City/State/ZIP
Contact
Consignee Information
Name
Address
City/State/ZIP
Contact
Container / Chassis Details
Container Number
Chassis Number
Seal Number
Size/Type
Load Details
Commodity
Weight
Pallets
Temperature
Stop
Location
Address
Arrive Date/Time
Depart Date/Time
Pickup
Delivery
Special Instructions
Total Rate
Accessorials
Carrier Signature
Date