REQUEST FOR DESTINATION BILL OF LADING
Date: _________________
To: _________________________________________ (name of carrier) ____________________________________________ _____________________________________________ (address)
REQUEST FOR ISSUANCE OF DESTINATION BILL OF LADING
The undersigned consignor of the goods described below and delivered to you on __________ (month & day), _______ (year), for consignment to the order of __________ at __________ requests that instead of an order bill of lading be issued at the place of shipment, an order bill of lading be issued at the following destination: ____________________________________________________________________.
This destination bill of lading, in standard form, should be issued as follows: Description of Articles:
Special Marks
Weight
Number
Class
Rate
_______________ ___________ ___________ _______________ ___________ ___________ _______________ ___________ ___________
__________ __________ __________ __________ __________ __________
Delivery of this bill of lading at the destination shall be made as follows: ___________ ____________________________________________________________________________________ ______________________________________________________.
Please advise us on the issuance of this bill.
_____________________________________________ (Name of Consignor)
_____________________________________________ (Signature)