Gem Star Trucking - Bill of Lading Form

STEP 1

Complete the Bill of Lading form
Click the 'Go to Step 2' button to proceed to the next step

STEP 2

Click the PDF button to generate your Bill of Lading PDF.
*The PDF will open in a new window.
Print 3 copies using the PDF's print icon

STEP 3

Once you have your 3 copies ready, call us for pickup at:

250-961-2616

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Asterisk (*) indicates required fields

Shipper

Name *

Phone (xxx-xxx-xxxx)

Street *

City *

Province

Postal Code

Receiver

Name *

Phone (xxx-xxx-xxxx)

Street *

City *

Province

Postal Code

Shipper #

PO #

Billing *

Billed To

Items

Pieces

Description

◊ Weight

Pieces

Description

◊ Weight

Pieces

Description

◊ Weight

Pieces

Description

◊ Weight

Pieces

Description

◊ Weight

Pieces

Description

◊ Weight

◊ Total Weight: lbs

◊ Weight subject to correction

Dimensions (for skids only)

Length

Width

Height

Special Instructions (max 150 characters / line)

Dangerous Goods

U.N.#

Shipping Name

Class

Packing Group

TDG Weight

Emergency Response Phone # (xxx-xxx-xxxx)

Type of Placard

# of Placards

Emergency Reponse Plan #

Dangerous Goods Paperwork Attached

Maximum liability of $2.00 per pound ON THE ACTUAL WEIGHT OF THE SHIPMENT, unless declared valuation states otherwise. A surcharge is applicable when the declared value is in excess of $2.00 per pound. Carrier liability not to exceed $5000.00 CDN.

Declared Valuation $

BY CLICKING THE CHECKBOX, I HEREBY DECLARE that the contents of this consignment are fully and accurately described above by the proper shipping name, are properly classified and packaged, have dangerous goods safety marks properly affixed or displayed on them, and are in all respects are in proper condition for transport according to the Transportation of Dangrous Goods Regulations.

Shipper Name *