
Date Purchase Order #
Shipper #
Shipper #
KIND OF PACKAGE, DESCRIPTION OF ARTICLES, SPECIAL MARKS AND EXCEPTIONS
(subject to correction)
WEIGHT IN LBS.
CLASS
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, classications 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 property described below, in apparent good order, except as noted (contents and condition of contents of packages unknown) marked, consigned and destined as shown hereon, which said carrier agrees to carry to destination, if on its route, or otherwise to deliver to another carrier on the route to destination. Every service to be
performedhereundershallbesubjecttoalltheconditionsnotprohibitedbylaw,whetherprintedorwritten,hereincontained,includingtheconditionsonthebackhereof,andtheconditionsoftheFXF100SeriesRulesTari,orotherwisereferenced,whichareherebyagreedtobytheshipperandacceptedforhimselfandhisassigns.
HANDLING
NMFC ITEM #
SHIPPER CERTIFICATION
I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are
classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to
applicable international and national governmental regulations.
Shipper Signature __________________________________________________________________ Date _____________________
HM
(X)
SHIPPERfrom Please provide ZIP codes and phone numbers. CONSIGNEEto
CARRIER CERTIFICATION
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 document in the vehicle.
TYPE
PIECES
NOTE (1) Where the rate and carrier’s liability for loss or damage may be dependent on value, shippers
or declared value of the property is specifically stated by the shipper to be not exceeding________
per_________.”
Note (2) liability limitation for loss or damage on this shipment shall be applicable as provided by contract
limited liability provisions. Carrier’s maximum standard liability is limited to $25 per pound per package
for NEW articles and $.50 per pound per package (or its equivalent in Mexican Pesos (MXN) or Canadian
for USED
orRECONDITIONEDarticles. Innocaseshallcarrierliabilityexceed$100,000peroccurrence(or its equivalent
for NEW
articles or $10,000 per occurrence
at the place and on the date of shipment) for USED or RECONDITIONED articles. For availability and limits
of excess liability coverage and applicable rates and charges, please refer to FXF 100 Series Rules Tari. Not
selecting an additional coverage option is considered to be a waiver of same and standard liability coverage
will apply.
Articles are NEW, and require Excess Liability Coverage in the amount of _______________
oUSD o CAD oMXN per olb. or okg.
Articles are USED or RECONDITIONED and require Excess Liability Coverage.
area code
CO202/125-FXF 0023776PM
AREA CODE
MARK “X” OR “RQ” IN THE HM COLUMN TO DESIGNATE HAZARDOUS MATERIALS OR REPORTABLE QUANTITY AS DEFINED IN DOT REGULATIONS.
FedEx Freight
Create your next Bill of Lading online at fedexfreight.com/en-us/rate-ship/shipping
ou may select a money-back guarantee
delivery (charges and tari limitations may apply).
Please select a service type
UNIFORM STRAIGHT BILL OF LADING ORIGINAL---NOT NEGOTIABLE
ALL SERVICES SUBJECT TO THE TERMS AND CONDITIONS OF THE FXF 100 SERIES RULES TARIFF. SEE fedexfreight.com FOR DETAILS. --- QUESTIONS? CALL 1.866.393.4585
FOR FREIGHT COLLECT SHIPMENTS
Subject to Section 7 of conditions of applicable Bill of Lading. If this shipment is to be delivered to the consignee, without recourse on
the consignor, the consignor shall sign the following statement. The carrier may decline to make delivery of this shipment without
payment of freight and all other lawful charges.
Consignor Signature ____________________________________________________________________________________________
FedEx Freight
®
Priority
FedEx Freight
®
Economy
FOR INTERNATIONAL SHIPMENTS INDICATE BROKER NAME, FAX, PHONE NUMBER, ADDRESS AND EMAIL.
A.M. Delivery Close of Business Delivery
Please provide ZIP codes and phone numbers.
BILL FREIGHT CHARGES TO
Shipper FXF Acct. #
Attn. to Area Code Telephone No.
Address
Address (Store, Dept., Ste., Flr., Apt., Div.)
City
State/Province ZIP/Postal Code Country
Email
Optional or Additional Service Fees and Charges r Ligate r Inside Pickup r Limited Access
BOL #
Special Instructions
Consignee FXF Acct. #
Attn. to Area Code Telephone No.
Address
Address (Store, Dept., Ste., Flr., Apt., Div.)
City
State/Province ZIP/Postal Code Country
Email
Optional or Additional Service Fees and Charges r Ligate r Inside Delivery r Limited Access
r Custom Delivery Window:
Name FXF Acct. # Email
Mailing Address City State ZIP/Postal Code Country Area Code Telephone No.
or CONTRACT #
___________________________________________________________________
EEI/SED Number or Exception ________________________________________
Freight charges are PREPAID unless marked collect. CHECK BOX IF COLLECT r
CUBE (optional)
Broker Name___________________________________________________
Broker Address_________________________________________________
Phone # ___________________________________
Fax AREA CODE
_____________________________________
City, State, Zip Code _____________________________________________
Email ______________________________________