Hazardous material check-off column highlighted with red symbol. Emergency response phone number box with red printing. For ten or fewer items.

• Features
• Use this simplified form to itemize up to 10 articles.
• Hazardous material information areas.
• Includes Memorandum Copy for agent's or shipper's files.


• Specifications
• Copy Paper Color White
• Copy Types Four-Part Carbonless
• Form Quantity 50
• Form Size 8 1/2 x 7
• Forms Per Page 1
• Global Product Type Forms-Shipping & Receiving
• Layout One Form per Sheet
• Number of Entry Lines 10
• Numbering Color Blue
• Numbering Preprinted at Bottom on All Parts
• Paper Color Blue White
• Post-Consumer Recycled Content Percent 0%
• Pre-Consumer Recycled Content Percent 0%
• Principal Heading Bill of Lading
• Print and Ruling Color Blue/Red
• Punching Bottom: Two-Hole Top: Hanging Hole
• Special Features Carbonless Quadruplicate
• Total Recycled Content Percent 0%