Companies & business
Delivery note template (US)
A general template under US law. Laws differ from state to state, so check it against your state's law or with a lawyer licensed there. We are not a law firm and do not give legal advice.
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Preview — US standard
Delivery Note / Packing Slip
Company Name
Company Address
Company Phone and Email
Delivery note no.: Delivery Note Number
Date shipped: Ship Date
Customer purchase order no.: Customer PO Number
Our order or invoice no.: Order Number
Ship To
Recipient Name
Recipient Company
Delivery Address
Phone: Recipient Phone
Carrier
Carrier: Carrier Name
Tracking or bill of lading no.: Tracking Number
Number of packages: Package Count
Total weight: Total Weight lb
Items
| Item No. | Description | Qty Ordered | Qty Shipped | Backordered |
| --- | --- | --- | --- | --- |
| First Item Number | First Item Description | First Qty Ordered | First Qty Shipped | First Backordered |
| Second Item Number | Second Item Description | Second Qty Ordered | Second Qty Shipped | Second Backordered |
| Third Item Number | Third Item Description | Third Qty Ordered | Third Qty Shipped | Third Backordered |
Notes: Delivery Notes, such as Handling or Installation Instructions
Receipt
Please check the goods on delivery. Note any visible damage or shortage on the carrier's delivery receipt before signing, and report any concealed damage or shortage to us within Claim Days days at Claims Contact. Signing below confirms receipt of the number of packages shown, in apparent good condition except as noted, and does not waive warranty rights.
Received by (print): Receiver Printed Name
Signature: Receiver Signature
Date and time: Receipt Date and Time
Exceptions noted: Exceptions, or None