Shipping Declaration Form

Shipper Information



Consignee Information



Pickup Information

Package Information

Item 1


Package List

1. Barrel

Shipment Summary

Total Items: 1

Barrels: 1

Boxes: 0

Bins: 0

Pallets: 0

Other: 0

Total Cubic Feet: 0.00

Pickup Required: No

Pickup Charge: $0.00

BOL Charge: $0.00

Estimated Charge: $0.00

Declaration

I, the undersigned shipper, hereby declare that the information provided in this Shipping Declaration Form is true, accurate, and complete to the best of my knowledge. I further declare that the contents of this shipment have been fully disclosed and do not contain any prohibited, restricted, hazardous, or undeclared items in violation of applicable laws or carrier regulations.

I understand that providing false, misleading, or incomplete information may result in delays, seizure of goods, additional charges, denial of service, fines, penalties, or other legal consequences. I accept full responsibility for the accuracy of this declaration and the contents of the shipment.



Date: 6/21/2026