This form contains 119 fields organized into 28 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Bill of Lading Details
BOL Number Text
Enter the Bill of Lading number for this shipment.
Date Date
Enter the date of the bill of lading.
Pro Number Text
Enter the Progressive or Tracking number for this shipment.
PO Number Text
Enter the Purchase Order number associated with this shipment.
Carrier Certification
Carrier Name Text
Provide the name of the carrier certifying the shipment.
Certified By Name Text
Enter the name of the individual certifying on behalf of the carrier.
Certification Date Date
Provide the date the carrier certification was completed.
Number of Packages Number
Enter the total number of packages.
Consignee Address
Consignee Address Text
Enter the full name and complete address of the consignee.
Date
Date Date
Please enter the date.
Declared Value
Declared Value Amount Number
Please enter the declared value of the property.
Declared Value Unit Text
Please enter the unit for the declared value (e.g., per pound, per package).
Eighth Article
Number of Packages Number
Enter the total quantity of packages for this specific article.
hm CheckBox
Hazardous Material Indicator Text
Enter 'X' if this article is a hazardous material.
Article Description Text
Provide a detailed description of the article being shipped.
Kind of Packaging Text
Specify the type of packaging used for this article, such as 'box' or 'crate'.
Article Weight Number
Enter the total weight of this article, including packaging.
Eleventh Article
Number of Packages Number
Enter the total number of packages for this line item.
hm CheckBox
Article Description Text
Provide a detailed description of the articles being shipped for this line item.
Packaging Type Text
Specify the type of packaging used for the articles in this line item.
Weight Number
Enter the weight of the articles for this line item.
Class or Rate Text
Provide the freight class or rate applicable to the articles in this line item.
Fifteenth Article
Total Number of Packages Number
Enter the total number of packages in the entire shipment.
HM Checkbox
Check this box if the article in the corresponding row is a hazardous material.
Total Description of Articles Text
Provide a summarized description of all articles included in the shipment.
Total Kind of Packaging Text
Enter a summary or description of the types of packaging used for the total shipment.
Total Weight Number
Enter the total weight of the entire shipment.
Declared Value Per Unit Text
Specify the unit of measurement used for the declared value of the property, such as 'pound' or 'item'.
Fifth Article
Number of Packages Number
Enter the total number of packages for this article.
hm CheckBox
Description of Article Text
Provide a detailed description of the article being shipped.
Kind of Packaging Text
Specify the type or kind of packaging used for the article.
Weight Number
Enter the weight of the article.
Class/Rate Number
Provide the freight class or rate applicable to the article.
First Article
Number of Packages Number
Please enter the total number of packages for this article.
HM Checkbox
Check this box if the article listed in this row is a hazardous material.
Article Description Text
Please provide a detailed description of the article being shipped.
Kind of Packaging Text
Please specify the type of packaging used for this article.
Weight Number
Please enter the weight of this article.
Class or Rate Text
Please enter the freight class or rate applicable to this article.
Fourteenth Article
Number of Packages Number
Enter the quantity of packages for the current article line item.
Hazardous Material (Fourteenth Article) Checkbox
Check this box if the article described in this row is a hazardous material, as indicated for the Fourteenth Article.
Description of Articles Text
Provide a detailed description of the articles being shipped, including any hazardous material designation, for the current line item.
Kind of Packaging Text
Specify the type or form of packaging used for the articles in the current line item.
Weight Number
Enter the total weight of the articles for the current line item.
Class or Rate Number
Indicate the freight class or applicable shipping rate for the articles in the current line item.
Fourth Article
Number of Packages Number
Enter the total number of packages for the fourth article listed.
hm CheckBox
Article Description Text
Provide a detailed description of the fourth article being shipped.
Kind of Packaging Text
Specify the type of packaging used for the fourth article (e.g., boxes, crates, pallets).
Article Weight Number
Enter the total weight of the fourth article, including its packaging.
Freight Class/Rate Text
Provide the freight class or rate applicable to the fourth article.
Freight Billing Address
Freight Billing Address Text
Provide the complete address where the freight bill should be sent.
General
Click here to clear the entire form Button
Click here to print a copy of this bill of lading for your records Button
Click here to submit this bill of lading to Drake International Button
Click here to go back to the Drake website Button
Ninth Article
Number of Packages Number
Enter the total number of packages for this shipment entry.
hm CheckBox
Article Description Text
Provide a detailed description of the articles or goods being shipped.
Kind of Packaging Text
Specify the type of packaging used for the articles (e.g., cartons, crates, pallets).
Weight Number
Enter the total weight of the shipment in the appropriate units.
Class/Rate Text
Provide the freight class or shipping rate applicable to the articles.
Routing Information
Route Number Text
Provide the identification number or code for the route.
Trailer Number Text
Enter the identification number for the trailer being used.
Department Number Text
Specify the relevant department identification number or code.
Second Article
Second Article Number of Packages Number
Provide the total number of packages for the second article being shipped.
HM Checkbox
Check this box if the article in this row is classified as hazardous material.
Second Article Description Text
Enter a detailed description of the second article being shipped.
Second Article Kind of Packaging Text
Specify the type of packaging used for the second article.
Second Article Weight Number
Enter the total weight of the second article.
Second Article Class/Rate Text
Provide the freight class or rate applicable to the second article.
Seventh Article
Number of Packages Number
Enter the total number of packages being shipped.
hm CheckBox
Description of Articles Text
Provide a detailed description of the articles being shipped.
Kind of Packaging Text
Specify the type of packaging used for the articles.
Weight Number
Enter the total weight of the articles.
Class/Rate Number
Provide the freight class or rate applicable to the shipment.
Shipment Totals
Total Pieces Number
Please provide the total number of pieces in the shipment.
Total Weight Number
Please provide the total weight of the shipment.
Shipper Address
Shipper Address Text
Enter the complete mailing address for the shipper, including street, city, state/province, and postal code.
Shipper Certification
Shipper Signature Text
Enter the signature of the shipper certifying the materials.
Certifier Name Text
Provide the name of the individual certifying the shipment on behalf of the shipper.
Certification Date Date
Enter the date of the shipper's certification.
Single Shipment
Single Shipment: Yes Checkbox
Check this box if this is a single shipment.
Single Shipment: No Checkbox
Check this box if this is not a single shipment.
Sixth Article
Number of Packages Number
Enter the total number of packages for this article.
HM Checkbox
Check this box if the corresponding line item consists of hazardous materials.
Article Description Text
Provide a detailed description of the articles being shipped.
Kind of Packaging Text
Specify the type of packaging used for the articles (e.g., cartons, crates, pallets).
Weight Number
Enter the total weight of the articles.
Class/Rate Text
Provide the freight class or rate applicable to the articles.
Special Instructions
Special Instructions Text
Please provide any special instructions related to the shipment.
Tenth Article
Number of Packages Number
Enter the total number of packages for this article.
hm CheckBox
Article Description Text
Provide a detailed description of the articles being shipped.
Kind of Packaging Text
Specify the type of packaging used for the articles.
Weight Number
Enter the weight of the articles.
Class or Rate Number
Enter the freight class or rate applicable to the articles.
Third Article
Number of Packages Number
Enter the total number of packages for this article.
HM Checkbox
Check this box if the article described in this row is a hazardous material.
Description of Article Text
Provide a detailed description of the article being shipped.
Kind of Packaging Text
Specify the type of packaging used for the article.
Weight Number
Enter the total weight of the article.
Class or Rate Text
Provide the freight class or applicable rate for the article.
Thirteenth Article
pkgs13 Text
hm CheckBox
Description of Article Text
Provide a detailed description of the article being shipped.
Kind of Packaging Text
Specify the type of packaging used for the article (e.g., cartons, crates, pallets).
Weight Number
Enter the weight of the article.
Class/Rate Text
Provide the freight class or rate applicable to the article.
Twelfth Article
Number of Packages Number
Enter the quantity of packages for this specific article.
hm CheckBox
Article Description Text
Provide a detailed description of the articles being shipped.
Kind of Packaging Text
Specify the type or method of packaging used for this article.
Weight Number
Enter the weight of the article.
Class/Rate Text
Enter the freight class or applicable shipping rate for this article.