This form contains 125 fields organized into 27 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name	Type	Description
Billing Information
Billing Name	Text	Enter the full name of the individual or company responsible for billing charges. Fill only if 'Collect Freight Charges' is 'No'. Depends on: Collect Freight Charges
Billing Street Address	Text	Enter the street address for the billing entity. Fill only if 'Collect Freight Charges' is 'No'. Depends on: Collect Freight Charges
Billing City	Text	Enter the city for the billing entity's address. Fill only if 'Collect Freight Charges' is 'No'. Depends on: Collect Freight Charges
Billing State	Text	Enter the state for the billing entity's address. Fill only if 'Collect Freight Charges' is 'No'. Depends on: Collect Freight Charges
Billing Zip Code	Text	Enter the zip code for the billing entity's address. Fill only if 'Collect Freight Charges' is 'No'. Depends on: Collect Freight Charges
Billing Phone Number	Text	Enter the primary phone number for the billing entity. Fill only if 'Collect Freight Charges' is 'No'. Depends on: Collect Freight Charges
Billing Email	Text	Enter the email address for the billing entity. Fill only if 'Collect Freight Charges' is 'No'. Depends on: Collect Freight Charges
Billing Attention	Text	Enter the name or department to whose attention the billing should be directed. Fill only if 'Collect Freight Charges' is 'No'. Depends on: Collect Freight Charges
Carrier Signature
Carrier Name	Text	Please provide the full legal name of the carrier.
Consignee Information
Consignee Name	Text	Enter the full name of the consignee (the recipient of the shipment).
Destination Street Address	Text	Provide the street number and name of the destination address for the shipment.
Destination State	Text	Enter the state for the destination address.
Destination City	Text	Provide the city for the destination address.
Destination Zip Code	Text	Enter the zip code for the destination address.
Consignee Email	Text	Provide the email address of the consignee.
Consignee Phone	Text	Enter the phone number of the consignee.
Customs Declared Value
Customs Declared Value	Number	Provide the customs declared value for the property.
Delivery Appointment Requirement
Delivery Appointment Required	Checkbox	Check this box if a delivery appointment is required for the shipment.
Eighth Shipped Article
Handling Units No./Type	Text	Enter the number and type of handling units for this shipped article.
Packages No./Type	Text	Enter the number and type of packages for this shipped article.
HM Code	Text	Enter the hazardous materials code if applicable for this shipped article.
Article Description	Text	Provide a detailed description of the kind of package, articles, special marks, and any exceptions for this shipped article.
Weight	Number	Enter the weight of this shipped article.
Class/Rate Reference	Number	Enter the freight class or rate reference for this shipped article.
Cube	Number	Enter the cubic measurement of this shipped article.
Eleventh Shipped Article
Handling Units Number/Type	Text	Enter the number and type of handling units for the eleventh article.
Packages Number/Type	Text	Enter the number and type of packages for the eleventh article.
Hazardous Material Indicator	Text	Indicate if the eleventh article is a hazardous material.
Kind of Package/Description	Text	Provide a detailed description of the eleventh article, including the kind of package, special marks, and any exceptions.
Weight	Number	Enter the weight of the eleventh article.
Class/Rate Reference	Number	Enter the freight class or rate reference for the eleventh article.
Cube (Optional)	Number	Enter the cubic volume of the eleventh article if applicable.
Excess Cargo Liability Value
Declared Value Limit	Number	Please enter the maximum agreed or declared value for the property.
Declared Value Unit	Text	Please specify the unit of measure for the declared property value.
Fifth Shipped Article
Handling Units Number/Type	Text	Enter the number and type of handling units for the article.
Packages Number/Type	Text	Enter the number and type of packages for the article.
Hazardous Material Indicator	Text	Indicate if the article is a hazardous material.
Article Description	Text	Provide a detailed description of the article, including its kind of package, special marks, and any exceptions.
Article Weight	Number	Enter the weight of the article.
Class/Rate Reference	Text	Enter the freight class or rate reference for the article. This field is for informational purposes only.
Article Cube	Number	Enter the cubic dimensions of the article. This field is optional.
First Shipped Article
Handling Units Number	Number	Enter the number of handling units for this article.
Packages Number	Number	Enter the number of individual packages for this article.
Hazardous Material Indicator	Text	Indicate if this article contains hazardous materials.
Article Description	Text	Provide a detailed description of the kind of package, the articles contained within, special marks, and any exceptions for this shipment.
Weight	Number	Enter the weight of this article.
Class/Rate Reference	Number	Enter the freight class or rate reference for this article.
Cube	Number	Enter the cubic volume of this article (optional).
Fourth Shipped Article
Handling Units No./Type	Text	Enter the number and type of handling units for this article.
Packages No./Type	Text	Enter the number and type of packages for this article.
Hazardous Material (HM)	Text	Indicate if this article is a hazardous material (HM).
Article Description	Text	Provide a detailed description of the kind of package, article, and any special marks or exceptions.
Weight	Number	Enter the weight of this article, which is subject to correction.
Class/Rate Reference	Text	Enter the class or rate reference for informational purposes only.
Cube (Optional)	Number	Enter the cubic volume of this article.
Freight Charges Payment Option
Collect Freight Charges	Checkbox	Check this box if the freight charges for this shipment are to be collected from the consignee upon delivery, rather than being prepaid.
Lading Information
Shipper Bill of Lading Number	Text	Provide the unique bill of lading number assigned by the shipper.
Consignee Reference / PO Number	Text	Enter the consignee's reference or purchase order number for the shipment.
Bill of Lading Date	Date	Specify the date when this bill of lading was created.
Ninth Shipped Article
Ninth Article Handling Units No. Type	Text	Enter the number and type of handling units for the ninth shipped article.
Ninth Article Packages No. Type	Text	Enter the number and type of packages for the ninth shipped article.
Ninth Article Hazardous Materials	Text	Indicate if the ninth shipped article is classified as hazardous materials.
Ninth Article Description	Text	Provide a detailed description of the ninth shipped article, including kind of package, special marks, and any exceptions.
Ninth Article Weight	Number	Enter the total weight of the ninth shipped article.
Ninth Article Class/Rate Reference	Text	Enter the class or rate reference for the ninth shipped article.
Ninth Article Cube	Number	Enter the cubic volume of the ninth shipped article.
Page Information
page #1	Text
page #2	Text
Problem Notification Contact
Problem Notification Contact Name	Text	Please enter the name of the individual or company to be contacted for problem notifications regarding the shipment.
Problem Notification Phone Number	Text	Please provide the telephone number for the contact person or company for problem notifications.
Problem Notification Email Address	Text	Please enter the email address for the contact person or company for problem notifications.
Second Shipped Article
Handling Units No./Type	Text	Enter the number and type of handling units for the second shipped article.
Packages No./Type	Text	Enter the number and type of packages for the second shipped article.
Hazardous Material Indicator	Text	Enter the hazardous material indicator for the second shipped article.
Description of Articles	Text	Provide a detailed description of the kind of package, articles, special marks, and any exceptions for the second shipped article.
Weight	Number	Enter the weight of the second shipped article, which is subject to correction.
Class/Rate Reference	Text	Enter the class or rate reference for the second shipped article for informational purposes only.
Cube	Number	Optionally enter the cubic dimensions of the second shipped article.
Seventh Shipped Article
Seventh Article Handling Units	Text	Enter the number and type of handling units for the seventh shipped article.
Seventh Article Packages	Text	Enter the number and type of packages for the seventh shipped article.
Seventh Article Hazardous Material	Text	Indicate if the seventh shipped article contains hazardous materials.
Seventh Article Description	Text	Provide a detailed description of the kind of package, articles, special marks, and any exceptions for the seventh shipped article.
Seventh Article Weight	Number	Enter the weight of the seventh shipped article.
Seventh Article Freight Class	Text	Enter the freight class or rate reference for the seventh shipped article.
Seventh Article Cube	Number	Enter the cubic volume of the seventh shipped article.
Shipment Totals
Total Handling Pieces	Number	Enter the total number of individual handling units in the shipment.
Individual Pieces	Number	Enter the total number of individual pieces in the shipment.
Total Weight	Number	Enter the total weight of the entire shipment.
Total Cube	Number	Enter the total cubic volume of the entire shipment.
Shipper Information
Shipper Name	Text	Please enter the full legal name of the shipper.
Origin Street Address	Text	Please provide the street address for the origin of the shipment.
Origin City	Text	Please enter the city where the shipment originates.
Origin State	Text	Please enter the state where the shipment originates.
Origin Zip Code	Text	Please enter the zip code for the origin of the shipment.
Shipper Phone Number	Text	Please enter the primary phone number for the shipper.
Shipper Email	Text	Please enter the email address for the shipper.
Shipper Signature
Shipper Signature	Text	Please provide the authorized signature of the shipper.
Signature Date	Date	Please provide the date when the shipper signed the document.
Sixth Shipped Article
Handling Units Quantity	Number	Enter the number of handling units for the sixth shipped article.
Packages Quantity	Number	Enter the number of packages for the sixth shipped article.
Hazardous Material Indicator	Text	Enter the hazardous material indicator or code for the sixth shipped article.
Article Description	Text	Provide a detailed description of the kind of package, articles, special marks, and any exceptions for the sixth shipped article.
Article Weight	Number	Enter the total weight of the sixth shipped article.
Class/Rate Reference	Text	Enter the freight class or rate reference information for the sixth shipped article.
Article Cube	Number	Enter the cubic measurement for the sixth shipped article.
Special Instructions
Special Instructions	Text	Provide any special instructions or delivery requirements for the shipment.
Temperature Requirements
Above Temperature	Number	Enter the temperature value that the shipment must be kept above.
Below Temperature	Number	Enter the temperature value that the shipment must be kept below.
Initials	Text	Enter the initials of the person responsible for setting these temperature requirements.
Tenth Shipped Article
Tenth Handling Units Number/Type	Text	Please provide the number and type of handling units for the tenth shipped article.
Tenth Packages Number/Type	Text	Please enter the number and type of packages for the tenth shipped article.
Tenth Hazardous Materials	Text	Enter 'X' if the tenth shipped article is a hazardous material.
Tenth Article Description	Text	Please provide a detailed description of the tenth shipped article, including its kind of package, and any special marks or exceptions.
Tenth Article Weight	Number	Please enter the total weight of the tenth shipped article.
Tenth Article Class/Rate Reference	Text	Please provide the class or rate reference for the tenth shipped article.
Tenth Article Cube	Number	Please enter the cubic volume of the tenth shipped article. This field is optional.
Third Shipped Article
Third Article Handling Units Number/Type	Text	Enter the number and type of handling units for the third article being shipped.
Third Article Packages Number/Type	Text	Enter the number and type of packages for the third article being shipped.
Third Article Hazardous Material Indicator	Text	Indicate if the third article being shipped is a hazardous material.
Third Article Description	Text	Provide a detailed description of the kind of package, articles, and any special marks or exceptions for the third article being shipped.
Third Article Weight	Number	Enter the weight of the third article being shipped, subject to correction.
Third Article Class/Rate Reference	Text	Enter the freight class or rate reference for the third article being shipped (for information only).
Third Article Cube	Number	Enter the cubic measurement of the third article being shipped (optional).
Trailer Details
Trailer Number	Text	Enter the identification number for the trailer.
Shipper Load & Count (SLC)	Checkbox	Check this box if the shipper is responsible for loading the goods and counting the items in the trailer, indicating the carrier will not verify the count.

Uniform Straight Bill of Lading Instructions