This form contains 148 fields organized into 25 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Additional Contact/Mailing Information
Additional Contact Name Text
Enter the full name of the person or company to be billed or contacted for freight charges.
Additional Mailing Address Text
Enter the street address or mailing address where billing statements or correspondence should be sent.
Additional City Text
Enter the city of the mailing address provided for billing or contact.
Additional State/Province Text
Enter the state or province (abbreviation or full name) for the mailing address.
Additional ZIP/Postal Code Text
Enter the ZIP or postal code for the billing/mailing address.
Additional Country Text
Enter the country for the billing/mailing address.
Phone Country Code Text
Enter the international dialing country code for the contact phone number (e.g., 1 for USA/Canada).
Phone Area Code Text
Enter the telephone area or regional code for the contact phone number.
Remit COD to Phone Text
Bill Freight Charges To (If Different Than Above)
Billing Name Text
Enter the full name or company name that should be billed for the freight when different from the shipper/consignee above.
FXF Account Number Text
Enter the FedEx Freight (FXF) account number to which the freight charges should be billed.
Mailing Address Text
Enter the billing street address (including suite, department, floor or other details) for the party responsible for the freight charges.
City Text
Enter the city for the billing address of the party to be billed.
State/Province Text
Enter the state or province (name or standard abbreviation) for the billing address.
ZIP/Postal Code Text
Enter the ZIP or postal code for the billing address.
Country Text
Enter the country for the billing address.
Area Code Text
Enter the telephone area code for the billing contact.
Phone Number Text
Enter the phone number for the billing contact (include the local number; add country code only if required).
C.O.D. Details
C.O.D. Currency - USD Checkbox
Check this box when the C.O.D. amount is to be collected in U.S. dollars.
C.O.D. Currency - CAD Checkbox
Check this box when the C.O.D. amount is to be collected in Canadian dollars.
C.O.D. Amount Number
Enter the cash-on-delivery amount to be collected from the consignee for this shipment.
C.O.D. Payment Method - Certified Funds Checkbox
Check this box when the C.O.D. funds are to be collected as certified funds (e.g., cashier's or certified check).
C.O.D. Payment Method - Company Check Checkbox
Check this box when the C.O.D. funds are to be collected by company/business check.
C.O.D. Payment Method - Personal Check Checkbox
Check this box when the C.O.D. funds are to be collected by a personal check.
C.O.D. Fee Paid By - Shipper Checkbox
Check this box when the shipper will pay the C.O.D. service/fee.
C.O.D. Fee Paid By - Consignee Checkbox
Check this box when the consignee/recipient will pay the C.O.D. service/fee.
Collect (Prepaid/Collect Selection)
CHECK BOX IF COLLECT Checkbox
Check this box when freight charges are to be billed as COLLECT (i.e., payment to be collected from the consignee) rather than PREPAID.
Consignee (To) Information
Consignee ID Text
Enter the consignee's short identifier or internal account/code used to reference the recipient (leave blank if none).
Consignee Name Text
Enter the full name of the company or individual who will receive the shipment.
Consignee FXF Account # Text
Enter the consignee's FXF account number if they have an account (leave blank if not applicable).
Consignee Contact (Attn. To) Text
Enter the name of the person or department to whom the delivery should be directed.
Consignee Phone Area Code Text
Enter the area code for the consignee's contact phone number.
Consignee Phone Number Text
Enter the consignee's contact phone number (excluding the area code entered separately).
Consignee Address Line 1 Text
Enter the primary street address or PO Box for the consignee.
Consignee Address Line 2 (Store/Dept/Suite) Text
Enter additional address details such as store, department, suite, floor, apartment or division for the consignee.
Consignee Address Line 3 Text
Enter any further address information needed for delivery (extra street information, building name, etc.).
Consignee City Text
Enter the city of the consignee's delivery address.
Consignee State/Province Text
Enter the state or province for the consignee's delivery address.
Consignee ZIP/Postal Code Text
Enter the ZIP or postal code for the consignee's delivery address.
Consignee Country Text
Enter the country name for the consignee's delivery address.
Consignee Accessorial Service Options
Liftgate Checkbox
Check this box when the consignee requires a liftgate service for pickup/delivery (i.e., no loading dock or forklift available).
Inside Delivery Checkbox
Check this box when the consignee requests inside delivery (carrier must move the shipment beyond the threshold into the building).
Limited Access Checkbox
Check this box when the consignee location has limited access (e.g., restricted hours, gated community, residential, or other access constraints) that may require special handling or fees.
Declared/Agreed Value (If Applicable)
not exceeding Text
per Text
Freight Items Row 1
Row 1 Units (H/U) Text
Enter the handling unit identifier or short code for this freight item (for example a unit code like 'PLT' or a small numeric count).
Row 1 Packaging Type Text
Enter the package type or handling unit description for this line (for example 'BOX', 'PALETTE', 'CRATE', or other packaging code).
Row 1 Pieces Text
Enter the number of individual pieces or packages included in this freight line.
HM 1 CheckBox
Row 1 Description of Articles / Marks & Exceptions Text
Provide a concise description of the commodity, package details, special marks, and any exceptions or handling notes for this item.
Row 1 Weight (lbs) Number
Enter the total weight for this freight item in pounds.
Row 1 NMFC / Item Number Text
Enter the NMFC code or internal item number that identifies the product or classification for this freight line.
Row 1 Class Text
Enter the freight class designation that applies to this item (for example 50, 70, 100).
Row 1 Cubic Feet (CuFt) Number
Enter the cubic volume for this freight item in cubic feet.
Freight Items Row 2
Row 2 — Handling Unit / Package Units Text
Enter the handling unit or package unit type or count for the second freight row (for example pallet count or unit identifier).
Row 2 — HM Type Text
Enter the hazardous material (HM) type or designation for this freight line, if applicable; otherwise leave blank.
Row 2 — Pieces Text
Enter the number of individual pieces or packages for this freight item.
Row 2 HM (X) Checkbox
Check this box if the freight item listed in row 2 is hazardous material (HM) and must be so marked.
Row 2 — Kind of Package / Description of Articles Text
Provide the package type and a brief description of the articles, including any special marks, exceptions, or handling notes for this freight item.
Row 2 — Weight Number
Enter the total weight for this freight item.
Row 2 — NMFC Item Number Number
Enter the NMFC item number that applies to the commodity described on this line.
Row 2 — Class Text
Enter the freight class for this item as shown on the applicable classification tables.
Row 2 — Cube Number
Enter the cubic volume for this freight item.
Freight Items Row 3
Row 3 Unit/Type Text
Enter the handling unit or unit-of-measure code for this line (for example PLT, EA, CTN).
Row 3 Pieces Number
Enter the total number of pieces or units for this line item.
Row 3 HM Indicator Text
Enter the hazardous-material indicator (for example an 'X' or other required notation) if this item is hazardous, otherwise leave blank.
Row 3 — HM (X) Checkbox
Check this box if the item listed on freight row 3 is a hazardous material (mark an X to indicate HM for that row).
Row 3 Description of Articles Text
Provide the kind of package and a clear description of the articles, including special marks, exceptions, or handling instructions for this line.
Row 3 Weight Number
Enter the weight for this line item.
Row 3 NMFC Item # Text
Enter the NMFC item number or carrier product/item code applicable to this line.
Row 3 Class Text
Enter the freight class designation that applies to this line item.
Row 3 Cube Number
Enter the cubic measurement (volume) for this line item.
Freight Items Row 4
Row 4 - Handling Units (H/U) Text
Enter the number of handling units or pallets for the freight item on row 4.
Row 4 - Pieces Text
Enter the total number of pieces or packages for the freight item on row 4.
Row 4 - HM Indicator Text
Enter 'X' or other applicable indicator to denote hazardous material for the freight item on row 4, if applicable.
Row 4 — HM (X) Checkbox
Check this box when the freight item entered on row 4 is hazardous material or reportable quantity and must be designated in the HM (X) column.
Row 4 - Description of Articles / Package Type Text
Provide a clear description of the articles, package type, and any special marks or exceptions for the freight item on row 4.
Row 4 - Weight (lbs) Number
Enter the total weight in pounds for the freight item on row 4.
Row 4 - NMFC Item Number Text
Enter the NMFC commodity/item number or freight classification code associated with the freight item on row 4.
Row 4 - Freight Class Text
Enter the freight class for the item on row 4 (the class code assigned to this shipment line).
Row 4 - Cube (cu ft) Number
Enter the cubic volume (cube) for the freight item on row 4.
Freight Items Row 5
Row 5 - Handling Units (H/U) Text
Enter the number or identifier of handling units (H/U) for freight row 5, e.g., pallets or skids count or a short unit code.
Row 5 - Packaging Type Text
Enter the type of package for row 5, such as 'Carton', 'Pallet', 'Crate', or another brief packaging description.
Row 5 - Pieces Text
Enter the number of individual pieces or packages represented by this line item for row 5.
Row 5 HM (X) Checkbox
Check this box when the item listed in freight items Row 5 is hazardous material or a reportable quantity and must be designated in the HM column (mark “X” per DOT regulations).
Row 5 - Description of Articles, Special Marks and Exceptions Text
Provide a concise description of the goods for row 5, including special markings, contents, and any exceptions or handling notes.
Row 5 - Weight (lbs) Number
Enter the total weight for the items in row 5 in pounds.
Row 5 - NMFC Item Number Text
Enter the NMFC item number or commodity code that applies to the goods described in row 5.
Row 5 - Freight Class Text
Enter the freight class applicable to the items in row 5 (e.g., '50', '70', or class name if used).
Row 5 - Cube (cu ft) Number
Enter the total cubic volume for the items in row 5 (cubic feet).
Freight Items Row 6
Row 6 Handling Units (H/U) Text
Enter the number or code for handling units (H/U) for freight item Row 6 (for example pallet count or unit abbreviation).
Row 6 Package Type Text
Enter the short code or name for the package type for Row 6 (for example BOX, PAL, CRATE).
Row 6 Pieces Text
Enter the count of individual pieces or units for the freight item on Row 6.
Row 6 HM (X) Checkbox Checkbox
Check this box when the freight item on row 6 contains hazardous materials or a reportable quantity (mark 'X' or 'RQ' in the HM column to designate hazardous materials as required).
Row 6 Description of Articles Text
Provide the detailed description of the articles for Row 6, including contents, special marks, packaging details, and any exceptions.
Row 6 Weight Number
Enter the total weight for the freight item listed on Row 6.
Row 6 NMFC Item Number Text
Enter the NMFC (National Motor Freight Classification) item number or code that applies to the freight on Row 6.
Row 6 Class Number
Enter the freight class for the item on Row 6.
Row 6 Cube Number
Enter the cubic measurement (volume) for the freight item on Row 6.
Freight Items Row 7
Row 7 - Handling Units (H/U) Text
Enter the number of handling units (H/U) for the freight item on row 7 (for example, number of pallets or skids).
Row 7 - Packaging Type (H/PKG) Text
Enter the packaging type or code for the handling unit on row 7 (for example, PLT, BOX, CRATE).
Row 7 - Pieces (Qty) Text
Enter the total piece quantity for the freight item on row 7.
Row 7 — HM (X) checkbox Checkbox
Check this box when the freight item entered on row 7 is a hazardous material or reportable quantity (mark 'X' or 'RQ' in the HM column when applicable).
Row 7 - Hazardous Material Indicator (HM/X) Text
Enter 'X' or the appropriate hazardous material indicator in this box for row 7 if the item is hazardous, otherwise leave blank.
Row 7 - Weight (lbs) Number
Enter the total weight for the freight item on row 7 in pounds.
Row 7 - NMFC Item Number Text
Enter the NMFC (National Motor Freight Classification) item number that corresponds to the commodity on row 7.
Row 7 - Freight Class Text
Enter the freight class for the item on row 7 as defined by the NMFC (for example, 50, 125).
Row 7 - Cubic Feet (Cube) Number
Enter the cubic volume (cube) for the freight item on row 7.
Hazmat Emergency Contact & ER Provider/Contract
Hazmat Emergency Contact Phone — Part 1 Text
Enter the first segment of the hazardous materials emergency contact phone number (start of the phone number).
Hazmat Emergency Contact Phone — Part 2 Text
Enter the second segment or continuation of the hazardous materials emergency contact phone number (middle/end of the phone number).
Emergency Response Provider / Contract Number Text
Enter the name, identifier, or contract number of the customer-registered emergency response provider or contract associated with this shipment.
International Shipments Broker Information
EEL/SID Number or Exception Text
Enter the export control EEL/SID number or the applicable exception code for the shipment (leave blank if not applicable).
Broker Phone — Area Code Text
Enter the broker's telephone area code for the contact phone number.
Broker Phone — Number Text
Enter the broker's telephone number (the main digits following the area code).
Broker Name Text
Enter the full name of the customs broker or brokerage company handling this international shipment.
Broker Fax Number Text
Enter the broker's fax number, including area code if applicable.
Broker Account / Reference Number Text
Enter the broker-assigned account, reference, or contract number used to identify this shipment with the broker.
Money-Back Guarantee Delivery Options
A.M. Delivery (Money-Back Guarantee) Checkbox
Check this box when you want the money-back guarantee applied and require guaranteed delivery by A.M. on the scheduled day.
Close of Business Delivery (Money-Back Guarantee) Checkbox
Check this box when you want the money-back guarantee applied and require guaranteed delivery by close of business on the scheduled day.
Reference Numbers & Custom Delivery Window
Shipper Bill of Lading Number Text
Enter the shipper's bill of lading identifier for this shipment (the alphanumeric reference assigned to the shipment).
Custom Delivery Window Checkbox
Check this box when you want to request a specific delivery time window for the shipment (specify the exact window in the related instructions or reference fields).
Custom Delivery Window Text
Specify the requested delivery window or instructions for delivery (for example a time range like "8:00 AM–12:00 PM" or other delivery timing details). Fill only if 'Custom Delivery Window' is 'Yes'.
Depends on: Custom Delivery Window
Service Type Selection
FedEx Freight Priority Checkbox
Check this box when you want the shipment handled with FedEx Freight Priority service (the faster, priority delivery option) as your selected service type.
FedEx Freight Economy Checkbox
Check this box when you want the shipment handled with FedEx Freight Economy service (the lower-cost, economy delivery option) as your selected service type.
Shipment Condition & Additional Charges
Articles are NEW (Excess Liability Coverage) Checkbox
Check this box when the goods in this shipment are new and you require excess liability coverage or wish to declare them as new for billing/coverage purposes.
Text
Depends on: Articles are NEW (Excess Liability Coverage), Articles are USED OR RECONDITIONED (Excess Liability Coverage)
Articles are USED OR RECONDITIONED (Excess Liability Coverage) Checkbox
Check this box when the goods in this shipment are used or reconditioned and you require excess liability coverage or wish to declare them as used/reconditioned for billing/coverage purposes.
Shipment Header (Date, PO, Shipper #s)
Date Date
Enter the shipment date.
Purchase Order Number Text
Enter the customer's purchase order number associated with this shipment.
Shipper Number (Primary) Text
Enter the origin shipper's FedEx account number or shipper identifier.
Shipper Number (Alternate) Text
Enter an additional or alternate shipper account number or shipper identifier if applicable.
Shipper (From) Information
Shipper Name Text
Enter the full company or individual name of the shipper (the 'From' party) for this shipment.
Shipper FXF Account # Text
Enter the shipper's FedEx Freight (FXF) account number if available; leave blank if none.
Attention (Attn. to) Text
Provide the name of the person or department at the shipper location who should be contacted about this shipment.
Shipper Phone Area Code Text
Enter the area code for the shipper's phone number (numeric digits for the local area code).
Shipper Phone Number Text
Enter the shipper's local phone number (excluding the area code entered separately).
Address Line 1 Text
Enter the primary street address or P.O. box for the shipper's location.
Address Line 2 (Store/Dept/Suite/etc.) Text
Enter additional address details such as store name, department, suite, floor, apartment or unit number.
Address Line 3 Text
Enter any remaining address information (e.g., building, cross-street, or second address line) for the shipper.
City Text
Enter the city of the shipper's address.
State/Province Text
Enter the state, province or region for the shipper's address (use the standard abbreviation if applicable).
ZIP/Postal Code Text
Enter the shipper's ZIP or postal code for the address.
Country Text
Enter the country name for the shipper's address.
Shipper Accessorial Service Options
Liftgate Checkbox
Check this box if the pickup or delivery location requires a liftgate service because a loading dock, forklift, or other means to move the shipment to/from the ground is not available and you are requesting/agreeing to pay the additional fee.
Inside Pickup Checkbox
Check this box if the shipper requires the carrier to perform inside pickup (carrier must move the shipment from inside the pickup location to the vehicle) and you are requesting/agreeing to pay the additional fee.
Limited Access Checkbox
Check this box if the pickup or delivery location has limited access (for example: construction sites, farms, military bases, schools, or other restricted sites) that may require special handling or charges and you are requesting/agreeing to pay the additional fee.
Special Instructions
Special Instructions Text
Enter any special handling, delivery, pickup or routing instructions, notes for the carrier, or other shipment-specific comments that the driver or consignee needs to know.
Total Handling Units
Total Handling Units Number
Enter the total number of handling units (pieces/pallets) being shipped for this bill of lading.