Straight Bill of Lading Instructions

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This form contains 449 fields organized into 49 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
C.O.D. Information
C.O.D. Amount Number
Enter the total Cash on Delivery (C.O.D.) amount.
Max length: 10 characters
Remit To Name Text
Provide the name of the party to whom the C.O.D. funds should be remitted.
Max length: 65 characters
Remit To Contact Name Text
Enter the contact name for the recipient of the C.O.D. funds if different from the shipper.
Max length: 65 characters
Remit To Address 1 Text
Enter the first line of the address for the C.O.D. funds recipient.
Max length: 65 characters
Remit To Address 2 Text
Enter the second line of the address for the C.O.D. funds recipient.
Max length: 30 characters
Remit To City Text
Enter the city for the C.O.D. funds recipient's address.
Max length: 2 characters
Remit To State Text
Enter the state for the C.O.D. funds recipient's address.
Max length: 10 characters
Remit To ZIP Code Text
Enter the ZIP Code for the C.O.D. funds recipient's address.
Max length: 20 characters
Carrier Information
Carrier ID Text
Enter the identification number or code for the carrier.
Max length: 25 characters
Trailer Number Text
Enter the unique number assigned to the trailer used for transport.
Max length: 20 characters
Time Time
Enter the relevant time of this carrier information.
Max length: 5 characters
Date Date
Enter the relevant date for this carrier information.
Max length: 10 characters
Consignee Information
Consignee Contact Name Text
Max length: 55 characters
Consignee PO Text
Max length: 30 characters
Consignee Company Name Text
Max length: 60 characters
Consignee Address 1 Text
Max length: 65 characters
Consignee Phone Text
Max length: 20 characters
Consignee Address 2 Text
Max length: 45 characters
Consignee Store Text
Max length: 20 characters
Consignee City Text
Max length: 40 characters
Consignee State Text
Max length: 2 characters
Consignee ZIP Text
Max length: 10 characters
Consignee Contact Name Text
Enter the name of the contact person at the consignee's location.
Max length: 55 characters
Consignee PO Number Text
Enter the purchase order number associated with the consignee's shipment.
Max length: 30 characters
Consignee Name Text
Enter the full legal name of the consignee or receiving party.
Max length: 60 characters
Consignee Address Line 1 Text
Enter the first line of the consignee's street address.
Max length: 65 characters
Consignee Phone Number Text
Enter the telephone number of the consignee.
Max length: 20 characters
Consignee Address Line 2 Text
Enter the second line of the consignee's address, such as a suite or apartment number.
Max length: 45 characters
Consignee Store Number Text
Enter the store number for the consignee's location, if applicable.
Max length: 20 characters
Consignee City Text
Enter the city of the consignee's destination.
Max length: 40 characters
Consignee State Text
Enter the state of the consignee's destination.
Max length: 2 characters
Consignee ZIP Code Text
Enter the ZIP code for the consignee's destination.
Max length: 10 characters
Contract Number
Contract Number Text
Please provide the contract number associated with the shipment.
Max length: 18 characters
Cubic Feet
Total Cubic Feet Number
Enter the total cubic feet for the shipment.
Max length: 30 characters
Date and Page Information
puMonth Text
Max length: 2 characters
puDate Text
Max length: 2 characters
puYear Text
Max length: 4 characters
Current Page Number Text
Enter the current page number of the document.
Max length: 2 characters
Total Pages Text
Enter the total number of pages in the document.
Max length: 2 characters
Date Month Text
Enter the two-digit month for the date.
Max length: 2 characters
Date Day Text
Enter the two-digit day for the date.
Max length: 2 characters
Date Year Text
Enter the four-digit year for the date.
Max length: 4 characters
Declared Value
Declared Value Amount Number
Enter the total monetary value declared for the shipment. Fill only if 'Excess Value Requested Yes' is 'Yes'.
Max length: 12 characters
Depends on: Excess Value Requested Yes
Excess Declared Value Amount Number
Enter the excess monetary value declared for the shipment, typically used for calculation of additional charges. Fill only if 'Excess Value Requested Yes' is 'Yes'.
Max length: 12 characters
Depends on: Excess Value Requested Yes
Declared Value Unit Text
Provide the unit of measurement for the declared value, such as 'pound' or 'shipment'. Fill only if 'Excess Value Requested Yes' is 'Yes'.
Max length: 10 characters
Depends on: Excess Value Requested Yes
Eighteenth Item Details
Number of Pieces Number
Enter the total number of individual pieces for this item.
Max length: 8 characters
Packaging Type Text
Enter the type of packaging used for this item (e.g., box, crate, pallet).
Max length: 10 characters
Hazardous Material Indicator Text
Enter 'X' if this item is a hazardous material. Fill only if 'HM Row 18' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 18
UN/NA Number Text
Enter the UN or NA identification number for hazardous materials, if applicable.
Max length: 42 characters
Article Description and Exceptions Text
Provide a detailed description of the article, including any special marks or exceptions. Fill only if 'HM Row 18' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 18
Primary HM Class Number
Enter the primary hazardous material class for this item. Fill only if 'HM Row 18' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 18
Subsidiary HM Class Number
Enter any subsidiary hazardous material classes for this item. Fill only if 'HM Row 18' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 18
Packing Group Text
Enter the packing group for hazardous materials, if applicable (e.g., I, II, III).
Max length: 7 characters
Weight (Lbs) Number
Enter the total weight of this item in pounds.
Max length: 9 characters
NMFC Item Number Number
Enter the National Motor Freight Classification (NMFC) item number for this item.
Max length: 10 characters
Eighth Item Details
Number of Pieces Number
Enter the total number of individual pieces for this item.
Max length: 8 characters
Type of Packaging Text
Enter the type of packaging used for this item.
Max length: 10 characters
Hazardous Material Indicator Text
Indicate if this item is a hazardous material, typically by entering 'X' if applicable. Fill only if 'HM Row 8' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 8
UN/NA Number Text
Enter the United Nations (UN) or North American (NA) identification number for the hazardous material, if applicable.
Max length: 42 characters
Article Description Text
Provide a detailed description of the articles, including any special marks or exceptions. Fill only if 'HM Row 8' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 8
Primary HM Class Text
Enter the primary hazardous material class for this item, if applicable. Fill only if 'HM Row 8' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 8
Subsidiary HM Class Text
Enter any subsidiary hazardous material class for this item, if applicable. Fill only if 'HM Row 8' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 8
Packaging Group Text
Enter the packaging group for this item, if applicable.
Max length: 7 characters
Weight in Pounds Number
Enter the weight of this item in pounds.
Max length: 9 characters
NMFC Item Number Text
Enter the National Motor Freight Classification (NMFC) item number for this item.
Max length: 10 characters
Eleventh Item Details
Pieces Number
Please enter the number of pieces for this item.
Max length: 8 characters
Type of Packaging Text
Please provide the type of packaging used for this item.
Max length: 10 characters
Hazardous Material Mark Text
Please mark an 'X' in this field if the item is a hazardous material. Fill only if 'HM Row 11' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 11
UN/NA Number Text
Please enter the UN/NA number for the hazardous material.
Max length: 42 characters
Description of Articles Text
Please provide a detailed description of the article, including any special marks or exceptions. Fill only if 'HM Row 11' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 11
HM Class (Primary) Text
Please enter the primary hazardous material class for this item. Fill only if 'HM Row 11' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 11
HM Class (Subsidiary) Text
Please enter the subsidiary hazardous material class for this item. Fill only if 'HM Row 11' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 11
Packaging Group Text
Please enter the packaging group for this item.
Max length: 7 characters
Weight (LB) Number
Please enter the weight of this item in pounds.
Max length: 9 characters
NMFC Item Number Text
Please enter the NMFC (National Motor Freight Classification) item number for this item.
Max length: 10 characters
Fifteenth Item Details
Pieces Number
Enter the total number of individual pieces for this item.
Max length: 8 characters
Packaging Type Text
Enter the type of packaging used for this item.
Max length: 10 characters
Hazardous Material Indicator Text
Mark 'X' if this item is considered a hazardous material. Fill only if 'HM Row 15' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 15
UN/NA Number Text
Enter the UN/NA identification number if this item is a hazardous material.
Max length: 42 characters
Description of Articles Text
Provide a detailed description of the articles, including any special marks or exceptions. Fill only if 'HM Row 15' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 15
Primary HM Class Text
Enter the primary hazardous material classification for this item. Fill only if 'HM Row 15' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 15
Subsidiary HM Class Text
Enter any subsidiary hazardous material classification for this item. Fill only if 'HM Row 15' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 15
Packaging Group Text
Enter the packaging group for this item.
Max length: 7 characters
Weight Number
Enter the total weight of this item in pounds.
Max length: 9 characters
NMFC Item Number Number
Enter the National Motor Freight Classification (NMFC) item number for this item.
Max length: 10 characters
Fifth Item Details
Pieces Number
Enter the total quantity of individual pieces for this item.
Max length: 8 characters
Type of Packaging Text
Enter the specific type of packaging used for this item.
Max length: 10 characters
Hazardous Material Text
Mark "X" if this item contains hazardous materials. Fill only if 'HM Row 5' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 5
UN/NA Number Text
Enter the UN or NA identification number for hazardous materials, if applicable.
Max length: 42 characters
Item Description Text
Provide a detailed description of the articles, including any special marks and exceptions. Fill only if 'HM Row 5' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 5
HM Primary Class Text
Enter the primary hazardous material class for this item, if applicable. Fill only if 'HM Row 5' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 5
HM Subsidiary Class Text
Enter any subsidiary hazardous material classes for this item, if applicable. Fill only if 'HM Row 5' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 5
Packaging Group Text
Enter the packaging group for this item, if applicable.
Max length: 7 characters
Weight Number
Enter the weight of this item in pounds.
Max length: 9 characters
NMFC Item Number Text
Enter the National Motor Freight Classification (NMFC) item number for this item.
Max length: 10 characters
Fifth Shipment Item
Fifth Item Pieces Number
Enter the number of individual pieces for the fifth shipment item.
Max length: 8 characters
Fifth Item Packaging Type Text
Specify the type of packaging used for the fifth shipment item.
Max length: 10 characters
Fifth Item UN/NA Number Text
Enter the UN/NA number for the fifth shipment item, if applicable.
Max length: 9 characters
Fifth Item Description Text
Provide a detailed description of the fifth shipment item, including any special marks or exceptions.
Max length: 42 characters
Fifth Item Primary HM Class Text
Enter the primary hazardous material class for the fifth shipment item.
Max length: 12 characters
Fifth Item Subsidiary HM Class Text
Enter any subsidiary hazardous material class for the fifth shipment item, if applicable.
Max length: 9 characters
Fifth Item Package Group Text
Enter the packaging group for the fifth shipment item.
Max length: 7 characters
Fifth Item Weight Number
Enter the total weight in pounds for the fifth shipment item.
Max length: 7 characters
Fifth Item NMFC Number Text
Enter the National Motor Freight Classification (NMFC) item number for the fifth shipment item.
Max length: 9 characters
Fifth Item Freight Class Text
Enter the freight class for the fifth shipment item.
Max length: 10 characters
First Item Details
Pieces Number
Enter the number of individual pieces for this item.
Max length: 8 characters
Type of Packaging Text
Provide a description of the type of packaging used for this item.
Max length: 10 characters
UN/NA Number Text
Enter the UN or NA identification number for this hazardous material, if applicable. Fill only if 'HM Row 1' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 1
Description of Articles Text
Provide a detailed description of the articles, including any special marks or exceptions.
Max length: 42 characters
HM Class (Primary) Number
Enter the primary hazardous materials classification for this item. Fill only if 'HM Row 1' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 1
HM Class (Subsidiary) Number
Enter any subsidiary hazardous materials classification for this item, if applicable. Fill only if 'HM Row 1' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 1
Packaging Group Text
Enter the packaging group for this hazardous material, if applicable. Fill only if 'HM Row 1' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 1
Weight (LB) Number
Enter the total weight of this item in pounds.
Max length: 7 characters
NMFC Item Number Number
Enter the National Motor Freight Classification (NMFC) item number for this article.
Max length: 9 characters
Freight Class Number
Enter the freight classification for this item.
Max length: 10 characters
First Shipment Item
Pieces Text
Enter the total number of individual pieces for this shipment item.
Max length: 8 characters
Type of Packaging Text
Enter the type of packaging used for this shipment item.
Max length: 10 characters
UN/NA Number Text
Enter the UN or NA identification number for hazardous materials, if applicable.
Max length: 9 characters
Description of Articles Text
Provide a detailed description of the articles being shipped, including any special marks or exceptions.
Max length: 42 characters
Primary HM Class Text
Enter the primary hazardous material class for this shipment item, if applicable.
Max length: 12 characters
Subsidiary HM Class Text
Enter any subsidiary hazardous material classes for this shipment item, if applicable.
Max length: 9 characters
Packaging Group Text
Enter the packaging group for this shipment item, if applicable.
Max length: 7 characters
Weight Number
Enter the total weight of this shipment item in pounds.
Max length: 7 characters
NMFC Item Number Text
Enter the National Motor Freight Classification (NMFC) item number for this shipment item.
Max length: 9 characters
Freight Class Text
Enter the freight class for this shipment item.
Max length: 10 characters
Fourteenth Item Details
Pieces Number
Enter the total number of individual pieces for this item.
Max length: 8 characters
Type of Packaging Text
Specify the type of packaging used for this item.
Max length: 10 characters
Hazardous Material Indicator Text
Mark 'X' in this field if this item is classified as hazardous material. Fill only if 'HM Row 14' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 14
UN/NA Number Text
Provide the UN or NA identification number for this hazardous material, if applicable.
Max length: 42 characters
Description of Articles, Special Marks, and Exceptions Text
Provide a detailed description of the articles, including any special marks or exceptions. Fill only if 'HM Row 14' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 14
HM Primary Class Text
Enter the primary hazardous material class for this item. Fill only if 'HM Row 14' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 14
HM Subsidiary Class Text
Enter any subsidiary hazardous material class for this item. Fill only if 'HM Row 14' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 14
Packaging Group Text
Specify the packaging group assigned to this hazardous material.
Max length: 7 characters
Weight (LBS) Number
Enter the total weight of this item in pounds.
Max length: 9 characters
NMFC Item Number Text
Enter the National Motor Freight Classification (NMFC) item number for this item.
Max length: 10 characters
Fourth Item Details
Pieces Number
Enter the total number of individual pieces for this item.
Max length: 8 characters
Type of Packaging Text
Specify the type of packaging used for this item.
Max length: 10 characters
UN/NA Number Text
Provide the UN or NA identification number for this hazardous material, if applicable. Fill only if 'HM Row 4' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 4
Description of Articles Text
Enter a detailed description of the articles, including any special marks or exceptions.
Max length: 42 characters
HM Primary Class Text
Enter the primary hazardous material class for this item. Fill only if 'HM Row 4' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 4
HM Subsidiary Class Text
Enter any subsidiary hazardous material classes for this item. Fill only if 'HM Row 4' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 4
Packaging Group Text
Provide the packaging group assigned to this hazardous material. Fill only if 'HM Row 4' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 4
Weight (LB) Number
Enter the total weight of this item in pounds.
Max length: 7 characters
NMFC Item Number Text
Enter the National Motor Freight Classification (NMFC) item number for this item.
Max length: 9 characters
Freight Class Text
Enter the freight class for this item.
Max length: 10 characters
Fourth Shipment Item
Pieces Number
Enter the number of individual pieces for this item.
Max length: 8 characters
Type of Packaging Text
Specify the type of packaging used for this item, such as cartons, pallets, or drums.
Max length: 10 characters
HM UN/NA Number Text
Enter the UN or NA identification number if this item is a hazardous material.
Max length: 9 characters
Article Description Text
Provide a detailed description of the articles, including any special marks or exceptions.
Max length: 42 characters
Primary HM Class Text
Enter the primary hazardous material class for this item, if applicable.
Max length: 12 characters
Subsidiary HM Class Text
Enter any subsidiary hazardous material class for this item, if applicable.
Max length: 9 characters
Packaging Group Text
Specify the packaging group assigned to this hazardous material item.
Max length: 7 characters
Weight Number
Enter the total weight of this item in pounds.
Max length: 7 characters
NMFC Item Number Text
Provide the National Motor Freight Classification (NMFC) item number for this item.
Max length: 9 characters
Freight Class Text
Enter the freight class assigned to this item based on the NMFC.
Max length: 10 characters
General
pages Text
Max length: 2 characters
Prepaid Freight Charges Checkbox
Check this box if the freight charges are prepaid by the shipper.
Collect Freight Charges Checkbox
Check this box if the freight charges are to be collected from the consignee upon delivery.
Hazardous Material Line 1 Checkbox
Check this box if the first listed item in the table is a hazardous material.
Hazardous Material Line 2 Checkbox
Check this box if the second listed item in the table is a hazardous material.
Hazardous Material Line 3 Checkbox
Check this box if the third listed item in the table is a hazardous material.
Hazardous Material Line 4 Checkbox
Check this box if the fourth listed item in the table is a hazardous material.
Hazardous Material Line 5 Checkbox
Check this box if the fifth listed item in the table is a hazardous material.
Hazardous Material Line 6 Checkbox
Check this box if the sixth listed item in the table is a hazardous material.
Hazardous Material Line 7 Checkbox
Check this box if the seventh listed item in the table is a hazardous material.
COD Paid by US Company Check Checkbox
Check this box if the C.O.D. amount is to be paid by a U.S. company check.
COD Fee Paid by Shipper Checkbox
Check this box if the C.O.D. fee is to be paid by the shipper.
COD Paid by Cash or Certified Funds Checkbox
Check this box if the C.O.D. amount is to be paid by cash or certified funds.
COD Fee Paid by Consignee Checkbox
Check this box if the C.O.D. fee is to be paid by the consignee.
Excess Value Requested Yes Checkbox
Check this box if excess value has been requested to increase the carrier's liability for this shipment.
Single Shipment Unit Checkbox
Check this box if the shipment consists of a single handling unit.
pages Text
Max length: 2 characters
Handling Units
Single Shipment Units Number
Enter the number of single shipment units.
Max length: 10 characters
Total Pieces Number
Enter the total number of pieces.
Max length: 10 characters
HM Emergency Contact
HM Phone Text
Max length: 20 characters
HM Name Text
Max length: 28 characters
Emergency Contact Phone Number Text
Enter the 24-hour contact telephone number for emergency response regarding hazardous materials. Fill only if 'Hazardous Material Line 1', 'Hazardous Material Line 2', 'Hazardous Material Line 3', 'Hazardous Material Line 4', 'Hazardous Material Line 5', 'Hazardous Material Line 6', 'Hazardous Material Line 7' is checked, any.
Max length: 20 characters
Depends on: Hazardous Material Line 1, Hazardous Material Line 2, Hazardous Material Line 3, Hazardous Material Line 4, Hazardous Material Line 5, Hazardous Material Line 6, Hazardous Material Line 7
Emergency Contact Name Text
Enter the name of the emergency response contact person for hazardous materials. Fill only if 'Hazardous Material Line 1', 'Hazardous Material Line 2', 'Hazardous Material Line 3', 'Hazardous Material Line 4', 'Hazardous Material Line 5', 'Hazardous Material Line 6', 'Hazardous Material Line 7' is checked, any.
Max length: 28 characters
Depends on: Hazardous Material Line 1, Hazardous Material Line 2, Hazardous Material Line 3, Hazardous Material Line 4, Hazardous Material Line 5, Hazardous Material Line 6, Hazardous Material Line 7
Emergency Contact Contract Number Text
Enter the contract number associated with the emergency response contact for hazardous materials. Fill only if 'Hazardous Material Line 1', 'Hazardous Material Line 2', 'Hazardous Material Line 3', 'Hazardous Material Line 4', 'Hazardous Material Line 5', 'Hazardous Material Line 6', 'Hazardous Material Line 7' is checked, any.
Max length: 18 characters
Depends on: Hazardous Material Line 1, Hazardous Material Line 2, Hazardous Material Line 3, Hazardous Material Line 4, Hazardous Material Line 5, Hazardous Material Line 6, Hazardous Material Line 7
Instructions and Order Numbers
Special Instructions/Comments Text
Provide any special instructions or comments regarding the shipment.
Max length: 140 characters
Additional Instructions/Comments Text
Provide any additional special instructions or comments regarding the shipment.
Max length: 145 characters
Purchase Order Number Text
Enter the primary purchase order number for the shipment.
Max length: 125 characters
Additional Purchase Order Number Text
Enter any additional purchase order numbers for the shipment.
Max length: 146 characters
Nineteenth Item Details
Number of Pieces Number
Enter the total number of individual pieces for this item.
Max length: 8 characters
Type of Packaging Text
Specify the type of packaging used for this item.
Max length: 10 characters
Hazardous Material Indicator Text
Indicate whether this item is a hazardous material, typically by marking with an 'X'. Fill only if 'HM Row 19' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 19
UN/NA Number Text
Enter the UN or NA identification number if this item is a hazardous material.
Max length: 42 characters
Article Description and Exceptions Text
Provide a detailed description of the articles, including any special marks and exceptions. Fill only if 'HM Row 19' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 19
Primary HM Class Number
Enter the primary hazardous material class for this item. Fill only if 'HM Row 19' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 19
Subsidiary HM Class Number
Enter any subsidiary hazardous material class for this item. Fill only if 'HM Row 19' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 19
Packaging Group Text
Enter the packaging group assigned to this hazardous material.
Max length: 7 characters
Weight Number
Enter the total weight of this item in pounds.
Max length: 9 characters
NMFC Item Number Number
Enter the National Motor Freight Classification (NMFC) item number for this article.
Max length: 10 characters
Ninth Item Details
Ninth Item Pieces Number
Enter the total number of individual pieces for the ninth item listed.
Max length: 8 characters
Ninth Item Packaging Type Text
Enter the specific type of packaging used for the ninth item.
Max length: 10 characters
Ninth Item Hazardous Material Text
Indicate if the ninth item is a hazardous material, usually by marking an 'X'. Fill only if 'HM Row 9' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 9
Ninth Item UN/NA Number Text
Enter the UN/NA identification number applicable to the ninth item, if it is a hazardous material.
Max length: 42 characters
Ninth Item Description Text
Provide a comprehensive description of the ninth item, including any special marks or exceptions. Fill only if 'HM Row 9' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 9
Ninth Item Primary HM Class Text
Enter the primary hazardous material class for the ninth item, if applicable. Fill only if 'HM Row 9' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 9
Ninth Item Subsidiary HM Class Text
Enter any subsidiary hazardous material class for the ninth item, if applicable. Fill only if 'HM Row 9' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 9
Ninth Item Packaging Group Text
Enter the packaging group assigned to the ninth item, if applicable.
Max length: 7 characters
Ninth Item Weight Number
Enter the total weight of the ninth item in pounds.
Max length: 9 characters
Ninth Item NMFC Item Number Text
Enter the National Motor Freight Classification (NMFC) item number for the ninth item.
Max length: 10 characters
Page 2
HM Row 1 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 2 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 3 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 4 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 5 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 6 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 7 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 8 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 9 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 10 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 11 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 12 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 13 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 14 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 15 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 16 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 17 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 18 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 19 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 20 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 21 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 22 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 23 Checkbox
Check this box if the materials listed in this row are hazardous.
HM Row 24 Checkbox
Check this box if the materials listed in this row are hazardous.
Page Number
Current Page Text
Please enter the current page number of the document.
Max length: 2 characters
Second Item Details
Pieces Number
Enter the total number of pieces for this item.
Max length: 8 characters
Type of Packaging Text
Enter the type of packaging used for this item.
Max length: 10 characters
UN/NA Number Text
Enter the UN/NA number if the item is a hazardous material. Fill only if 'HM Row 2' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 2
Description of Articles Text
Provide a detailed description of the articles, including any special marks or exceptions.
Max length: 42 characters
HM Class Primary Text
Enter the primary hazardous material class for this item. Fill only if 'HM Row 2' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 2
HM Class Subsidiary Text
Enter any subsidiary hazardous material class for this item. Fill only if 'HM Row 2' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 2
Packaging Group Text
Enter the packaging group designation for this item. Fill only if 'HM Row 2' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 2
Weight Number
Enter the weight of this item in pounds.
Max length: 7 characters
NMFC Item Number Text
Enter the National Motor Freight Classification (NMFC) item number for this item.
Max length: 9 characters
Freight Class Text
Enter the freight class for this item.
Max length: 10 characters
Second Shipment Item
Pieces Number
Enter the total number of individual pieces for this shipment item.
Max length: 8 characters
Type of Packaging Text
Enter the description of how this shipment item is packaged (e.g., boxes, pallets, cartons).
Max length: 10 characters
Hazardous Materials Mark Text
Mark with an 'X' if this shipment item is classified as hazardous material.
Max length: 9 characters
UN/NA Number Text
Enter the four-digit UN/NA identification number for this hazardous material item, if applicable.
Max length: 42 characters
Hazardous Material Primary Class Text
Enter the primary hazardous material class for this shipment item, if applicable.
Max length: 12 characters
Hazardous Material Subsidiary Class Text
Enter any subsidiary hazardous material classes for this shipment item, if applicable.
Max length: 9 characters
Packaging Group Text
Enter the packaging group for this shipment item, if applicable.
Max length: 7 characters
Weight in Pounds Number
Enter the total weight of this shipment item in pounds.
Max length: 7 characters
NMFC Item Number Text
Enter the National Motor Freight Classification (NMFC) item number for this shipment item.
Max length: 9 characters
Freight Class Text
Enter the freight class code for this shipment item.
Max length: 10 characters
Service Information
Service Upgrade Text
Enter the details or code for the service upgrade required for this shipment.
Max length: 50 characters
Added Service 1 Text
Enter the details or code for the first additional service required for this shipment.
Max length: 69 characters
Added Service 2 Text
Enter the details or code for the second additional service required for this shipment.
Max length: 90 characters
Added Service 3 Text
Enter the details or code for the third additional service required for this shipment.
Max length: 90 characters
Seventeenth Item Details
Pieces Number
Enter the total number of pieces for this item.
Max length: 8 characters
Type of Packaging Text
Enter the type of packaging used for this item.
Max length: 10 characters
Hazardous Material Mark Text
Enter 'X' if this item contains hazardous materials. Fill only if 'HM Row 17' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 17
UN/NA Number Text
Enter the UN or NA identification number for this hazardous material item.
Max length: 42 characters
Article Description Text
Provide a detailed description of the articles, including any special marks or exceptions. Fill only if 'HM Row 17' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 17
HM Class Primary Text
Enter the primary hazardous material class for this item. Fill only if 'HM Row 17' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 17
HM Class Subsidiary Text
Enter any subsidiary hazardous material class for this item. Fill only if 'HM Row 17' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 17
Packaging Group Text
Enter the packaging group for this item.
Max length: 7 characters
Weight Number
Enter the weight of this item in pounds.
Max length: 9 characters
NMFC Item Number Text
Enter the National Motor Freight Classification (NMFC) item number for this item.
Max length: 10 characters
Seventh Item Details
Pieces Number
Enter the number of pieces for the seventh item.
Max length: 8 characters
Type of Packaging Text
Enter the type of packaging used for the seventh item.
Max length: 10 characters
Hazardous Material Indicator Text
Mark 'X' in this field if the seventh item is a hazardous material. Fill only if 'HM Row 7' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 7
UN/NA Number Text
Enter the UN/NA number for the seventh item, if applicable.
Max length: 42 characters
Description of Articles Text
Provide a detailed description of the articles, special marks, and exceptions for the seventh item. Fill only if 'HM Row 7' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 7
HM Class Primary Text
Enter the primary hazardous material class for the seventh item, if applicable. Fill only if 'HM Row 7' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 7
HM Class Subsidiary Text
Enter any subsidiary hazardous material classes for the seventh item, if applicable. Fill only if 'HM Row 7' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 7
Package Group Text
Enter the packaging group for the seventh item, if applicable.
Max length: 7 characters
Weight (LB) Number
Enter the weight of the seventh item in pounds.
Max length: 9 characters
NMFC Item Number Text
Enter the NMFC (National Motor Freight Classification) item number for the seventh item.
Max length: 10 characters
Seventh Shipment Item
Seventh Item Pieces Number
Enter the total number of individual pieces for the seventh shipment item.
Max length: 8 characters
Seventh Item Packaging Type Text
Specify the type of packaging used for the seventh shipment item, such as boxes, drums, or pallets.
Max length: 10 characters
Seventh Item UN/NA Number Text
Provide the UN (United Nations) or NA (North America) identification number for the hazardous material in the seventh shipment item.
Max length: 9 characters
Seventh Item Description Text
Enter a detailed description of the articles, including any special marks or exceptions, for the seventh shipment item.
Max length: 42 characters
Seventh Item Primary HM Class Text
Indicate the primary Hazardous Material (HM) class for the seventh shipment item.
Max length: 12 characters
Seventh Item Subsidiary HM Class Text
Indicate any subsidiary Hazardous Material (HM) class for the seventh shipment item, if applicable.
Max length: 9 characters
Seventh Item Packaging Group Text
Enter the packaging group classification for the hazardous material in the seventh shipment item.
Max length: 7 characters
Seventh Item Weight (LB) Number
Provide the total weight in pounds for the seventh shipment item.
Max length: 7 characters
Seventh Item NMFC Item Number Text
Enter the National Motor Freight Classification (NMFC) item number for the seventh shipment item.
Max length: 9 characters
Seventh Item Freight Class Text
Specify the freight class for the seventh shipment item.
Max length: 10 characters
Shipment Totals
Total Pcs Text
Max length: 10 characters
Shipment Dimensions Text
Max length: 40 characters
Cubic Feet Text
Max length: 30 characters
Total Weight Text
Max length: 9 characters
Total Pieces Number
Enter the total number of pieces included in the shipment.
Max length: 10 characters
Shipment Dimensions Number
Enter the overall numerical dimensions for the shipment.
Max length: 40 characters
Cubic Feet Number
Enter the total cubic feet of the shipment.
Max length: 30 characters
Total Weight Number
Enter the total weight of the shipment in pounds.
Max length: 9 characters
Shipper Information
Shipper Contact Name Text
Max length: 30 characters
Shipper Order Text
Max length: 10 characters
BOL Text
Max length: 25 characters
Shipper Company Name Text
Max length: 65 characters
Shipper Address 1 Text
Max length: 45 characters
Shipper Phone Text
Max length: 18 characters
Shipper Address 2 Text
Max length: 45 characters
Shipper Store Text
Max length: 18 characters
Shipper City Text
Max length: 40 characters
Shipper State Text
Max length: 2 characters
Shipper ZIP Text
Max length: 10 characters
Shipper Contact Name Text
Enter the name of the contact person for the shipper.
Max length: 30 characters
Shipper Order Number Text
Enter the shipper's order number.
Max length: 10 characters
Bill of Lading Number Text
Enter the bill of lading number.
Max length: 25 characters
Shipper or Consignor Name Text
Enter the name of the shipper or consignor.
Max length: 65 characters
Shipper Address Line 1 Text
Enter the first line of the shipper's street address.
Max length: 45 characters
Shipper Phone Number Text
Enter the shipper's phone number.
Max length: 18 characters
Shipper Address Line 2 Text
Enter the second line of the shipper's street address, if applicable.
Max length: 45 characters
Shipper Store Number Text
Enter the shipper's store number.
Max length: 18 characters
Shipper Origin City Text
Enter the city where the shipment originates from.
Max length: 40 characters
Shipper State Text
Enter the state where the shipment originates from.
Max length: 2 characters
Shipper ZIP Code Text
Enter the five or nine-digit ZIP code for the shipper's origin.
Max length: 10 characters
Shipper Signature
Shipper Name Text
Please provide the full name of the individual signing as the shipper.
Max length: 45 characters
Sixteenth Item Details
Pieces Number
Please enter the total number of pieces for this item.
Max length: 8 characters
Packaging Type Text
Please enter the type of packaging used for this item.
Max length: 10 characters
Hazardous Material Mark Text
Please enter 'X' in this field if this item is a hazardous material. Fill only if 'HM Row 16' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 16
UN/NA Number Text
Please enter the UN/NA identification number for this hazardous material.
Max length: 42 characters
Article Description Text
Please enter a detailed description of the articles, including any special marks or exceptions. Fill only if 'HM Row 16' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 16
Primary HM Class Text
Please enter the primary hazardous material class for this item. Fill only if 'HM Row 16' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 16
Subsidiary HM Class Text
Please enter any subsidiary hazardous material classes for this item. Fill only if 'HM Row 16' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 16
Packaging Group Text
Please enter the packaging group for this hazardous material.
Max length: 7 characters
Weight (LB) Number
Please enter the weight of this item in pounds.
Max length: 9 characters
NMFC Item Number Text
Please enter the National Motor Freight Classification (NMFC) item number for this product.
Max length: 10 characters
Sixth Item Details
Pieces Number
Enter the number of pieces for the sixth item.
Max length: 8 characters
Type of Packaging Text
Enter the type of packaging used for the sixth item.
Max length: 10 characters
HM Mark Text
Enter 'X' in this column if the sixth item contains hazardous materials. Fill only if 'HM Row 6' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 6
UN/NA Number Text
Enter the UN/NA identification number for the hazardous material of the sixth item, if applicable.
Max length: 42 characters
Primary HM Class Text
Enter the primary hazardous material class for the sixth item, if applicable. Fill only if 'HM Row 6' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 6
Subsidiary HM Class Text
Enter the subsidiary hazardous material class for the sixth item, if applicable. Fill only if 'HM Row 6' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 6
Packaging Group Text
Enter the packaging group for the hazardous material of the sixth item, if applicable. Fill only if 'HM Row 6' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 6
Weight Number
Enter the weight of the sixth item in pounds.
Max length: 7 characters
NMFC Item Number Text
Enter the National Motor Freight Classification (NMFC) item number for the sixth item.
Max length: 9 characters
Freight Class Number
Enter the freight class for the sixth item.
Max length: 10 characters
Sixth Shipment Item
Pieces Number
Enter the total number of pieces for this shipment item.
Max length: 8 characters
Type of Packaging Text
Provide the type of packaging used for this shipment item.
Max length: 10 characters
UN/NA Number Text
Enter the UN/NA number if this item is a hazardous material.
Max length: 9 characters
Description of Articles Text
Provide a detailed description of the articles, including any special marks and exceptions.
Max length: 42 characters
HM Class Primary Text
Enter the primary hazardous material class for this item.
Max length: 12 characters
HM Class Subsidiary Text
Enter any subsidiary hazardous material class for this item, if applicable.
Max length: 9 characters
Packaging Group Text
Provide the packaging group for this hazardous material.
Max length: 7 characters
Weight in Pounds Number
Enter the total weight of this shipment item in pounds.
Max length: 7 characters
NMFC Item Number Text
Enter the National Motor Freight Classification (NMFC) item number for this article.
Max length: 9 characters
Freight Class Text
Enter the freight class for this shipment item.
Max length: 10 characters
Tenth Item Details
Tenth Item Pieces Number
Enter the number of pieces for the tenth item.
Max length: 8 characters
Tenth Item Packaging Type Text
Enter the type of packaging used for the tenth item.
Max length: 10 characters
Tenth Item Hazardous Material Indicator Text
Enter 'X' if the tenth item is a hazardous material, otherwise leave blank. Fill only if 'HM Row 10' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 10
Tenth Item UN/NA Number Text
Enter the UN or NA identification number for the tenth item if it is a hazardous material.
Max length: 42 characters
Tenth Item Description Text
Provide a detailed description of the tenth item, including any special marks or exceptions. Fill only if 'HM Row 10' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 10
Tenth Item Primary HM Class Text
Enter the primary hazardous material class for the tenth item. Fill only if 'HM Row 10' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 10
Tenth Item Subsidiary HM Class Text
Enter any subsidiary hazardous material class for the tenth item. Fill only if 'HM Row 10' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 10
Tenth Item Packaging Group Text
Enter the packaging group for the tenth item.
Max length: 7 characters
Tenth Item Weight Number
Enter the total weight in pounds for the tenth item.
Max length: 9 characters
Tenth Item NMFC Number Text
Enter the National Motor Freight Classification (NMFC) item number for the tenth item.
Max length: 10 characters
Third Item Details
Pieces Quantity Number
Enter the number of individual pieces for this item.
Max length: 8 characters
Packaging Type Text
Enter the type of packaging used for this item.
Max length: 10 characters
UN/NA Number Text
Enter the UN or NA identification number for this hazardous material, if applicable. Fill only if 'HM Row 3' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 3
Article Description Text
Provide a detailed description of the articles, including any special marks or exceptions for this item.
Max length: 42 characters
Primary HM Class Text
Enter the primary hazardous materials class for this item. Fill only if 'HM Row 3' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 3
Subsidiary HM Class Text
Enter any subsidiary hazardous materials class for this item, if applicable. Fill only if 'HM Row 3' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 3
Packaging Group Text
Enter the packaging group assigned to this hazardous material, if applicable. Fill only if 'HM Row 3' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 3
Weight (LB) Number
Enter the total weight of this item in pounds.
Max length: 7 characters
NMFC Item Number Text
Enter the National Motor Freight Classification (NMFC) item number for this item.
Max length: 9 characters
Freight Class Text
Enter the freight class assigned to this item.
Max length: 10 characters
Third Shipment Item
Pieces2 Text
Max length: 8 characters
Pkg Type2 Text
Max length: 10 characters
UNNA2 Text
Max length: 9 characters
Description2 Text
Max length: 42 characters
Primary HM Class2 Text
Max length: 12 characters
Subsidiary HM Class2 Text
Max length: 9 characters
Pkg Group2 Text
Max length: 7 characters
Enter weight in pounds Text
Max length: 7 characters
NMFC Item Number2 Text
Max length: 9 characters
Freight Class2 Text
Max length: 10 characters
Third-Party Billing Address
Third-Party Billing Company Name Text
Please provide the official name of the third-party company responsible for billing.
Max length: 60 characters
Bill To Contact Name Text
Please provide the name of the contact person or department at the third-party company to which the bill should be addressed.
Max length: 60 characters
Third-Party Billing Address Line 1 Text
Please provide the first line of the third-party billing address.
Max length: 60 characters
Third-Party Billing Address Line 2 Text
Please provide the second line of the third-party billing address, if applicable.
Max length: 40 characters
Third-Party Billing City Text
Please provide the city for the third-party billing address.
Max length: 2 characters
Third-Party Billing State Text
Please provide the state for the third-party billing address.
Max length: 10 characters
Thirteenth Item Details
Thirteenth Item Pieces Number
Enter the number of pieces for the thirteenth item.
Max length: 8 characters
Thirteenth Item Packaging Type Text
Enter the type of packaging used for the thirteenth item.
Max length: 10 characters
Thirteenth Item Hazardous Material Mark Text
Mark 'X' if the thirteenth item is hazardous material. Fill only if 'HM Row 13' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 13
Thirteenth Item UN/NA Number Text
Enter the UN/NA identification number for the thirteenth item if it is hazardous material.
Max length: 42 characters
Thirteenth Item Description Text
Provide a detailed description of the thirteenth item, including any special marks or exceptions. Fill only if 'HM Row 13' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 13
Thirteenth Item Primary HM Class Text
Enter the primary hazardous material class for the thirteenth item. Fill only if 'HM Row 13' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 13
Thirteenth Item Subsidiary HM Class Text
Enter the subsidiary hazardous material class for the thirteenth item, if applicable. Fill only if 'HM Row 13' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 13
Thirteenth Item Packaging Group Text
Enter the packaging group for the thirteenth item.
Max length: 7 characters
Thirteenth Item Weight Number
Enter the weight of the thirteenth item in pounds.
Max length: 9 characters
Thirteenth Item NMFC Item Number Text
Enter the NMFC (National Motor Freight Classification) item number for the thirteenth item.
Max length: 10 characters
Twelfth Item Details
Pieces Quantity Number
Enter the number of individual pieces for this item.
Max length: 8 characters
Packaging Type Text
Enter the type of packaging used for this item.
Max length: 10 characters
Hazardous Material Indicator Text
Mark this field if the item is classified as hazardous material. Fill only if 'HM Row 12' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 12
UN/NA Number Text
Enter the UN or NA identification number for the hazardous material.
Max length: 42 characters
Item Description Text
Provide a detailed description of the article, including any special marks or exceptions. Fill only if 'HM Row 12' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 12
HM Primary Class Text
Enter the primary hazardous material class for this item. Fill only if 'HM Row 12' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 12
HM Subsidiary Class Text
Enter any subsidiary hazardous material class for this item, if applicable. Fill only if 'HM Row 12' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 12
Packaging Group Text
Enter the packaging group for the hazardous material, if applicable.
Max length: 7 characters
Weight (LB) Number
Enter the total weight of the item in pounds.
Max length: 9 characters
NMFC Item Number Text
Enter the National Motor Freight Classification (NMFC) item number for this shipment.
Max length: 10 characters
Twentieth Item Details
Twentieth Item Pieces Number
Enter the number of pieces for the twentieth item.
Max length: 8 characters
Twentieth Item Packaging Type Text
Specify the type of packaging used for the twentieth item.
Max length: 10 characters
Twentieth Item Hazardous Materials Text
Indicate if the twentieth item contains hazardous materials. Fill only if 'HM Row 20' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 20
Twentieth Item UN/NA Number Text
Provide the UN or NA identification number for the twentieth item if it is hazardous.
Max length: 42 characters
Twentieth Item Description Text
Enter a description of the twentieth item, including any special marks or exceptions. Fill only if 'HM Row 20' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 20
Twentieth Item HM Primary Class Text
Provide the primary hazardous materials class for the twentieth item. Fill only if 'HM Row 20' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 20
Twentieth Item HM Subsidiary Class Text
Provide the subsidiary hazardous materials class for the twentieth item. Fill only if 'HM Row 20' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 20
Twentieth Item Packaging Group Text
Enter the packaging group for the twentieth item.
Max length: 7 characters
Twentieth Item Weight Number
Enter the weight of the twentieth item in pounds.
Max length: 9 characters
Twentieth Item NMFC Number Text
Provide the NMFC (National Motor Freight Classification) item number for the twentieth item.
Max length: 10 characters
Twenty-first Item Details
Pieces Number
Enter the total number of pieces for this item.
Max length: 8 characters
Type of Packaging Text
Enter the type of packaging used for this item.
Max length: 10 characters
HM Indicator Text
Indicate if this item is a hazardous material. Fill only if 'HM Row 21' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 21
UN/NA Number Text
Enter the UN/NA identification number for hazardous materials, if applicable.
Max length: 42 characters
HM Class Primary Text
Enter the primary hazardous material class for this item. Fill only if 'HM Row 21' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 21
HM Class Subsidiary Text
Enter the subsidiary hazardous material class for this item, if applicable. Fill only if 'HM Row 21' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 21
Packaging Group Text
Enter the packaging group for this item. Fill only if 'HM Row 21' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 21
Weight (LB) Number
Enter the weight of this item in pounds.
Max length: 7 characters
NMFC Item Number Text
Enter the National Motor Freight Classification (NMFC) item number for this item.
Max length: 9 characters
Freight Class Text
Enter the freight class for this item.
Max length: 10 characters
Twenty-fourth Item Details
Total Pieces Number
Enter the total number of pieces for the entire shipment.
Max length: 8 characters
Shipment Length Number
Enter the length of the shipment.
Max length: 10 characters
Shipment Width Number
Enter the width of the shipment. Fill only if 'HM Row 24' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 24
Shipment Height Number
Enter the height of the shipment.
Max length: 42 characters
Cubic Feet 1 Number
Enter the first value for total cubic feet of the shipment. Fill only if 'HM Row 24' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 24
Cubic Feet 2 Number
Enter the second value for total cubic feet of the shipment. Fill only if 'HM Row 24' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 24
Cubic Feet 3 Number
Enter the third value for total cubic feet of the shipment. Fill only if 'HM Row 24' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 24
Total Weight 1 Number
Enter the first value for total weight of the shipment.
Max length: 7 characters
Total Weight 2 Number
Enter the second value for total weight of the shipment.
Max length: 9 characters
Total Weight 3 Number
Enter the third value for total weight of the shipment.
Max length: 10 characters
Twenty-second Item Details
Twenty-second Item Pieces Number
Enter the total number of individual pieces for the twenty-second item.
Max length: 8 characters
Twenty-second Item Packaging Type Text
Provide the type of packaging used for the twenty-second item.
Max length: 10 characters
Twenty-second Item Hazardous Material Mark Text
Enter 'X' if the twenty-second item is classified as hazardous material. Fill only if 'HM Row 22' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 22
Twenty-second Item UN/NA Number Text
Provide the UN or NA identification number for the twenty-second item if applicable.
Max length: 42 characters
Twenty-second Item Description and Exceptions Text
Provide a detailed description of the twenty-second item, including any special marks or exceptions. Fill only if 'HM Row 22' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 22
Twenty-second Item Primary HM Class Text
Enter the primary hazardous material class for the twenty-second item. Fill only if 'HM Row 22' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 22
Twenty-second Item Subsidiary HM Class Text
Enter any subsidiary hazardous material class for the twenty-second item. Fill only if 'HM Row 22' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 22
Twenty-second Item Packaging Group Text
Enter the packaging group for the twenty-second item.
Max length: 7 characters
Twenty-second Item Weight Number
Enter the total weight in pounds for the twenty-second item.
Max length: 9 characters
Twenty-second Item NMFC Item Number Number
Enter the National Motor Freight Classification (NMFC) item number for the twenty-second item.
Max length: 10 characters
Twenty-third Item Details
Pieces Text
Enter the number of pieces for this item.
Max length: 8 characters
Type of Packaging Text
Enter the type of packaging used for this item.
Max length: 10 characters
Hazardous Material Text
Indicate if this item is a hazardous material. Fill only if 'HM Row 23' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 23
UN/NA Number Text
Enter the UN/NA identification number for this hazardous material, if applicable.
Max length: 42 characters
Description of Articles Text
Provide a detailed description of the articles, including any special marks or exceptions. Fill only if 'HM Row 23' is 'Yes'.
Max length: 12 characters
Depends on: HM Row 23
Primary HM Class Text
Enter the primary hazardous material class for this item, if applicable. Fill only if 'HM Row 23' is 'Yes'.
Max length: 9 characters
Depends on: HM Row 23
Subsidiary HM Class Text
Enter any subsidiary hazardous material class for this item, if applicable. Fill only if 'HM Row 23' is 'Yes'.
Max length: 7 characters
Depends on: HM Row 23
Packaging Group Text
Enter the packaging group assigned to this hazardous material, if applicable.
Max length: 7 characters
Weight Number
Enter the total weight of this item in pounds.
Max length: 9 characters
NMFC Item Number Text
Enter the National Motor Freight Classification (NMFC) item number for this item.
Max length: 10 characters