CHAIN OF SIGNATURE DOCUMENT Section 1 TO BE COMPLETED BY THE SHIPPER – Section 1 TO BE COMPLETED BY THE SHIPPER – Shipper’s Name: Origin: Fax #: Carrier’s bill of lading Destination: number: Name of carrier: Number & type of pieces: Transport Control WSBL #: Number: Seal number (If any) Freight classification: Shipper’s Signature: Shipment Date: Section 2 TO BE COMPLETED BY EACH PERSON ACCEPTING CUSTODY OF – FIREARM SHIPMENT MATERIAL REQUIRING CHAIN OF SIGNATURE DURING TRANSIT Print name of person and company represented Day & Ross PRINT NAME of person Time Date Terminal Location accepting custody accepted accepted Line 1 Pick-up Broker/Driver/ Agent – Unit # _______________ Line 2 Interline Carrier Pick-up – Carrier Name _______________ Carrier Unit # _______________ Line 3 - Origin Terminal Dock Supervisor Line 4 - Transfer Term Dock Supervisor Line 5 Transfer Term Dock Supervisor – Line 6 Transfer Term Dock Supervisor – Line 7 Delivery Terminal Dock Supervisor – Line 8 Delivery Driver/Agent/Broker – Unit # ______________ Line 9 Interline Carrier Delivery – Carrier Name _______________ Carrier Unit # _______________ Line 10 Interline Carrier Dock Supervisor – Line 11 Interline Carrier Delivery – Driver/Agent/Broker Line 12 - Consignee COS Sticker must be applied on all pieces of freight in the entire shipment
CHAIN OF SIGNATURE DOCUMENT Section 1 – TO BE COMPLETED BY THE SHIPPER Section 1 – TO BE COMPLETED BY THE SHIPPER Shipper’s Name: Origin: Fax #: Carrier’s bill of lading number: Destination: Name of carrier: Number & type of pieces: Transport Control Number: WSBL #: Seal number (If any) Freight classification: Shipper’s Signature: Shipment Date: Section 2 – TO BE COMPLETED BY EACH PERSON ACCEPTING CUSTODY OF FIREARM SHIPMENT MATERIAL REQUIRING CHAIN OF SIGNATURE DURING TRANSIT Print name of person and company represented Day & Ross Terminal Location PRINT NAME of person accepting custody Time accepted Date accepted Line 1 – Pick-up Broker/Driver/ Agent Unit # _______________ Line 2 – Interline Carrier Pick-up Carrier Name _______________ Carrier Unit # _______________ Line 3 - Origin Terminal Dock Supervisor Line 4 - Transfer Term Dock Supervisor Line 5 – Transfer Term Dock Supervisor Line 6 – Transfer Term Dock Supervisor Line 7 – Delivery Terminal Dock Supervisor Line 8 – Delivery Driver/Agent/Broker Unit # ______________ Line 9 – Interline Carrier Delivery Carrier Name _______________ Carrier Unit # _______________ Line 10 – Interline Carrier Dock Supervisor Line 11 – Interline Carrier Delivery Driver/Agent/Broker Line 12 - Consignee COS Sticker must be applied on all pieces of freight in the entire shipment