Download Bill of Lading with a Supplement Form in PDF

The Bill of Lading with a Supplement form is a crucial document in the shipping industry, serving as a receipt for goods and a contract between the shipper and carrier. This form not only outlines the details of the shipment but also provides additional information that may be necessary for specific transactions. Understanding its components can help ensure smooth logistics and compliance with legal requirements.

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The Bill of Lading with a Supplement form plays a crucial role in the shipping and transportation industry. It serves as a legally binding document that outlines the details of goods being transported, ensuring that both the shipper and the carrier have a clear understanding of their responsibilities. This form typically includes essential information such as the names and addresses of the shipper and receiver, a description of the goods, and the terms of the shipment. Additionally, the Supplement section provides space for any special instructions or additional terms that may be necessary for the specific shipment. By incorporating these details, the Bill of Lading with a Supplement form helps prevent misunderstandings and disputes, making it a vital tool for smooth logistics operations. Understanding how to properly fill out and use this form can save time and reduce risks in the shipping process.

Document Data

Fact Name	Description
Definition	A Bill of Lading is a legal document between a shipper and a carrier that details the type, quantity, and destination of goods being shipped.
Purpose	This document serves as a receipt for the goods and as a contract for transportation, ensuring that both parties understand their obligations.
Supplement Form	A Supplement form may be added to provide additional information or terms that are not included in the standard Bill of Lading.
Governing Laws	State-specific forms may be governed by local transportation laws, such as the Uniform Commercial Code (UCC) or specific state statutes.

How to Write Bill of Lading with a Supplement

Completing the Bill of Lading with a Supplement form is a straightforward process that requires attention to detail. Each section of the form must be filled out accurately to ensure smooth transportation and delivery of goods. Following the steps below will help you navigate the form effectively.

Begin by entering the date at the top of the form. Make sure to use the correct format.
Fill in the name and address of the shipper in the designated section. Include any relevant contact information.
Provide the name and address of the consignee, who will receive the shipment.
Detail the origin of the shipment. This includes the city and state from where the goods are being shipped.
Specify the destination of the shipment. Include the city and state where the goods are to be delivered.
List the description of the goods being shipped. Be as detailed as possible, including quantity and weight.
Indicate the method of transportation. Check the appropriate box for truck, rail, air, or other modes.
Include any special instructions or handling requirements in the designated section.
Sign and date the form at the bottom. Ensure that the signature is legible and matches the name printed above.

After completing the form, make copies for your records and provide the necessary copies to the shipper and consignee. This will help ensure that all parties have the information they need for a successful shipment.

Bill of Lading with a Supplement Example

Date:	BILL OF LADING		Page 1 of ______
SHIP FROM
Name:		Bill of Lading Number:__________________
Address:
City/State/Zip:			B A R C O D E S P A C E
SID#:	FOB: o
SHIP TO		CARRIER NAME: _________________________________

Name:	Location #:____
Address:
City/State/Zip:
CID#:	FOB:	o

THIRD PARTY FREIGHT CHARGES BILL TO:

Name:

Address:

City/State/Zip:

SPECIAL INSTRUCTIONS:

Trailer number:

Seal number(s):

SCAC:

Pro number:

B A R C O D E S P A C E

Freight Charge Terms:

Prepaid ________

Collect _______ 3rd Party ______

oMaster Bill of Lading: with attached

(check box) underlying Bills of Lading

CUSTOMER ORDER NUMBER

# PKGS

CUSTOMER ORDER INFORMATION
WEIGHT	PALLET/SLIP	ADDITIONAL SHIPPER INFO
	Y OR N

GRAND TOTAL

CARRIER INFORMATION

HANDLING UNIT		PACKAGE

QTY	TYPE	QTY	TYPE

WEIGHT

H.M.

(X)

COMMODITY DESCRIPTION

Commodities requiring special or additional care or attention in handling or stowing must be

so marked and packaged as to ensure safe transportation with ordinary care.

LTL ONLY

NMFC #	CLASS

R E C E I V I N G

S T A M P S P A C E

GRAND TOTAL

Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or	COD Amount: $____________________
declared value of the property as follows:	COD Amount: $____________________
“The agreed or declared value of the property is specifically stated by the shipper to be not exceeding	Fee Terms: Collect: ¨	Prepaid: o
__________________ per ___________________.”	Customer check acceptable: o

NOTE Liability Limitation for loss or damage in this shipment may be applicable. See 49 U.S.C. - 14706(c)(1)(A) and (B).

RECEIVED, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rates, classifications and rules that have been established by the carrier and are available to the shipper, on request, and to all applicable state and federal regulations.

The carrier shall not make delivery of this shipment without payment of freight and all other lawful charges.

_______________________________________Shipper Signature

SHIPPER SIGNATURE / DATE

This is to certify that the above named materials are properly classified, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the DOT.

Trailer Loaded: Freight Counted:

p By Shipper p By Shipper

p By Driver p By Driver/pallets said to contain

pBy Driver/Pieces

CARRIER SIGNATURE / PICKUP DATE

Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response information was made available and/or carrier has the DOT emergency response guidebook or equivalent documentation in the vehicle.

SUPPLEMENT TO THE BILL OF LADING Page _________

Bill of Lading Number: __________________

CUSTOMER ORDER INFORMATION

CUSTOMER ORDER NUMBER # PKGS WEIGHT

PALLET/SLIP

Y OR N

ADDITIONAL SHIPPER INFO

PAGE SUBTOTAL

CARRIER INFORMATION

HANDLING UNIT	PACKAGE

QTY TYPE	QTY TYPE

WEIGHT

H.M.

(X)

COMMODITY DESCRIPTION

Commodities requiring special or additional care or attention in handling or stowing must be so marked and packaged as to ensure safe transportation with ordinary care.

LTL ONLY

NMFC #

CLASS

PAGE SUBTOTAL

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