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The Milburn 875R form serves as a critical document in the transportation of household goods, encapsulating essential details that facilitate a smooth moving process. This form outlines various aspects of the shipment, including the shipper's information, pickup and delivery dates, and the agreed terms of service. It also specifies the charges associated with the move, such as fuel surcharges and additional fees for services like packing and unpacking. Importantly, the form includes options for declaring the value of goods, which impacts the liability of the carrier in case of loss or damage. Shippers must make informed decisions about their coverage, choosing between different levels of protection based on the value of their belongings. The Milburn 875R also incorporates provisions for notification of charges, allowing for transparency in billing. As a comprehensive document, it ensures that both shippers and carriers understand their rights and responsibilities, ultimately contributing to a more organized and efficient moving experience.

Milburn 875R Example

 

MILBURN PRINTING 800-999-6690 www.milburnprinting.com

NO.

UNIFORM HOUSEHOLD GOODS BILL OF

 

IN CASE OF NEED: CONTACT TRAFFIC CONTROL MGR.

NO.

CONNECTING OR INTERLINING

CARRIER (IF ANY) ______________________________________________________________________

RECEIVED, subject to classifications, tariffs, rules and regulations including all terms printed or stamped hereon

SHIPPER ____________________________________________DATE ________________________

ADDRESS ____________________________________________________________________________

FLOOR ______________ELEV.____________________________TEL. __________________________

CITY ______________________________________COUNTY ____________STATE ______________ CITY ______________________________________ COUNTY ______________STATE ____________

ACTUAL PICKUP DATE

AGREED PICKUP DATE or period of time

(if applicable)

 

AGREED

DELIVERY DATE

GUARANTEED DELIVERY DATE

 

(if applicable)

 

 

 

 

(if applicable)

 

 

 

 

 

 

Daily Allowance

 

NOTIFICATION OF CHARGES

SHIPPER REQUESTS NOTIFICATION OF ACTUAL CHARGES TO

(C.O.D. SHIPPERS ONLY)

PARTY SHOWN BELOW n

NOTIFY ___________________________________________________________________

ADDRESS __________________________________TEL. __________________________

Tariff ___________________________

I waive my right to observe the re- weigh of this shipment.

_______________________________

SignatureDate

ORIGINAL

Gross

Tare

Net

Min. Wt.

REWEIGH

 

IN CASE OF DELAY, OR IF CHARGES EXCEED ESTIMATE BY MORE THAN 10%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTIFY ___________________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TO

 

Transportation FR

OM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Origin/Destinatio

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS __________________________________TEL. __________________________

n Fee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Payment in Cash or Certified Check, Money Order, Traveler's Check or Cashier's Check

Fuel Surcharge

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BILLING INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Containers, Packing & Unpacking

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

Storage-In-Transit at Loca

 

 

 

 

 

 

 

 

 

 

 

tion___________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date In_____________ Date Out___________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIT Pickup

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY & STATE

 

 

 

 

and Delivery

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Extra

Pickups or Deliveries No.____________ at ______________________

 

ATTENTION OF

 

 

 

 

 

 

 

 

 

 

Extra

Labor, Special Services or Waiting Time

 

Notice: Carrierʼs tariffs, by this reference, are made a part of the bill of lading and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

may be inspected at carrierʼs facility, or, on request, carrier will furnish a copy of any

Bu

lky Articles

 

 

 

 

 

 

 

 

 

 

 

tariff provision containing carrierʼs rates, rules or charges governing the shipment.

A

 

 

 

 

 

 

 

 

 

 

 

 

 

dditional Weight Additives

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPECIAL SERVICES

 

Advanced Ch

arges

 

 

 

 

 

n EXPEDITED SERVICE ORDERED BY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shuttle Ser

vice

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SHIPPER DELIVERED ON OR BEFORE _____________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Self-Storage/Mini-Warehouse Pickups

or Deliveries

 

n SHIPMENT COMPLETELY OCCUPIED A __________ CU. FT. VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Overtime Pickups or Deliveries

 

 

 

 

 

 

 

n EXCLUSIVE USE OF A_____________CU. FT. VEHICLE ORDERED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

n SPACE RESERVATION

CU. FT. ORDERED

 

Other Additional Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

n ____________________________

n _______________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE: For shipments with origin/destination in

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

such

 

property to the customer by carrier. The sale price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AGENT AND

Agt. Code

FULL SERVICE

 

CONTAINERS & PACKING $

UNPACKING $

 

 

 

SERVICE DATA

No.

 

 

 

 

 

 

 

DATE LOADED

 

 

CUSTOM SERVICE

CONTAINERS & PACKING

UNPACKING

 

 

 

 

 

 

 

 

 

 

 

 

AT RES.)

 

 

CARTON DESCRIPTION

QUANTITY

QUANTITY

 

 

 

BY

 

 

DISH PACKS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE LOADED

 

 

CARTONS

LESS THAN 3 CFT.

 

 

 

 

TOTAL

AT WHSE.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BY

 

 

CARTONS

3 CFT.

 

 

 AND AND

 

 

 

 

 

AGENT

 

 

 

 

 

 

BOOKED

 

 

CARTONS

4.5

 

 

 

 

 

BY

 

 

 

 

 

 

 

 

 

ORIGIN

 

 

CARTONS

6

 

 

UNPACKING

PACKING

CONTAINERS

 

 

 

MATTRESS CTN., KING/QU. (EXCEEDING 54" X 75")

 

 

PACKED

 

 

CARTONS

6.5

 

 

 

 

 

BY

 

 

WARDROBE, CTN.

 

 

 

 

 

 

HAULER 1.

 

 

 

 

 

 

 

 

 

FROM

TO

 

CRIB MATTRESS CTN.

 

 

 

 

 

 

 

 

 

 

 

 

 

HAULER 2.

 

 

MATTRESS CTN., TWIN/TWIN LONG

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MATTRESS CTN., DOUBLE (NOT EXCEEDING 54" X 75")

 

 

 

 

 

FROM

TO

 

 

 

 

 

 

 

 

UNPACKING

 

 

HEAVY DUTY

 

 

 

 

 

 

BY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

 

OTHER

 

 

 

 

 

 

DELIVERED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER

 

 

 

 

 

TOTAL UNPACKING

$

 

 

 

 

 

 

 

 

 

 

THE CONSUMER MUST SELECT ONE OF THESE OPTIONS

 

 

FOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CUSTOMER’S DECLARATION of VALUE : THIS IS A TARIF

F LEVEL OF CARRIER LIABILITY - IT IS NOT INSURANCE

 

 

Minimum Weight or Volume Charge

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OPTION 1

 

- The Cost Estimate that you receive from your mover MUST INCL

UDE Full (Replacement) Value Protec

tion for the articles

 

Terms & Conditions for Payment of Total Charges

 

that are

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Charges n

Prepaid n C.O.D.n

 

of Full (Replacement) Value Protection shown below. Full (Replacement) Value Protection

is the most comp

rehensive plan available

 

 

 

 

to be paid Cash, Certified Check or Money Order

 

 

for

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Maximum amount to be paid at time of delivery to obtain

 

1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

delivery of an estimated C.O.D. shipment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BALANCE DUE (30 Working Days, Credit Extended if Requested)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Replacement) Value Protection, if you do not declare a higher replacement value on this form prior to the tim

e of shipment, the value of your

 

 

 

Prepayment Collected By

 

goods will be deemed to be

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

minimum valuation for the ship-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ment of $6,000. Under this

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

reflecting the cost of providing

 

 

 

BALANCE DUE Á

 

 

 

 

this full value cargo liability prote

 

 

 

 

 

 

 

 

 

 

If you wish t

 

 

 

 

 

 

 

 

 

 

 

 

default

 

 

 

 

 

 

ction for your shipment.

 

 

declare a higher value

 

 

 

 

 

 

 

 

 

 

o

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

amounts, you must indicate that va

lue here.

 

 

 

 

 

 

 

 

 

 

the valuation charge in your cost estimate.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The Total VALUE of my s

 

 

 

 

 

 

 

 

 

 

_______ (to be provided by the Customer)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

hipment is: $ _____________________

 

DELIVERY ACKNOWLEDGEMENT: SHIPMENT WAS RECEIVED IN APPARENT GOOD CONDI-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dollar Estimate of the COST of your move at

Full (Replacement) Value Protectio

n: $

__________________ (to be provided by Carrier)

 

TION EXCEPT AS NOTED ON INVENTORY, AND SERVICES ORDERED WERE PERFORMED.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

shipment. (if you

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

do not make a selection, the “No Deductible” level of FULL value

protection that is included in yo

ur cost estimate will apply):

SIGNED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

) initial

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

provided by Carrier)

REC'D FOR STORAGE

 

 

CONSIGNEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(WAREHOUSE)

 

I acknowl

edge that for my sh

ipment I have

 

 

 

 

 

 

included in the

BY

 

 

 

 

 

PER

 

 

 

the “

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

broch

 

 

 

 

 

 

 

 

 

 

 

 

 

received a copy of

 

(WAREHOUSEMAN'S SIGNATURE)

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Rights and Responsibilities When You Move

ure expl

aining these provisions.

 

 

 

Declaration of Article(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

--- OR ---

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of Extraordinary (Unusual) Value

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

additional cost beyond the base

I acknowledge that I have prepared and retained a copy of the

 

OPTION 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. Under this option, a claim for

“Inventory of Items Valued in Excess of $100 Per Pound per Article”

 

rate; however it provides only minimal protection

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of the individual article multiplied

that are included in my shipment and that I have given a copy of this

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$6.00 (10 pounds times 60 cents).

Inventory to the mover’s representative. I also acknowledge that the

 

 

 

 

 

$ ________________ (to be provided by Carrier)

mover’s liability for loss of or damage to any article valued in excess

 

Dollar Estimate of the COST of your move under the 60 cents option:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

higher cost estimate provided (above) for

of $100 per pound will be limited to $100 per pound for each pound

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of such lost or damaged article(s) (based on actual article weight), not

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

must initial and sign on the lines below-

to exceed the declared value of the entire shipment, unless I have

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

______________ (Customer’s Initials)

specifically identified such articles for which a claim for loss or dam-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I acknowledge that for my shipment

 

 

 

 

for which I have received an estimate

age may be made on the attached inventory.

 

I have

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Move” brochure explaining these provisions.

__________________________________________________

 

Customer’s Signature X

 

____________________________________________Date____________________

 

 

CUSTOMER’S SIGNATURE)

 

 

 

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MILBURN PRINTING

800-999-6690 www.milburnprinting.com

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FORM # 875R/Rev. 4/12

 

File Breakdown

Fact Name Description
Form Purpose The Milburn 875R form serves as a Uniform Household Goods Bill of Lading, facilitating the transportation of household goods.
Contact Information For inquiries, Milburn Printing can be reached at 800-999-6690 or through their website at www.milburnprinting.com.
Shipper Details The form requires the shipper's name, address, and contact information for effective communication.
Pickup and Delivery Dates It includes sections for actual pickup date, agreed pickup date, and delivery dates, ensuring clarity on timelines.
Charges Notification Shippers can request notification of actual charges, particularly for C.O.D. shipments, to stay informed about costs.
Weight and Charges The form captures gross, tare, and net weights, crucial for determining shipping costs based on weight.
Service Options Additional services like packing, unpacking, and storage-in-transit can be requested, offering flexibility to shippers.
Liability Terms The form outlines the carrier's liability for loss or damage, specifying conditions under which they are responsible.
Value Declaration Shippers must declare the value of their shipment, which impacts the level of liability coverage provided by the carrier.
Governing Law This form is governed by applicable state laws regarding the transportation of goods, which may vary by state.

Guide to Using Milburn 875R

Filling out the Milburn 875R form requires careful attention to detail. Each section must be completed accurately to ensure smooth processing of your shipment. Once you have filled out the form, you will be able to submit it to the appropriate carrier or service provider.

  1. Contact Information: Begin by entering the name of the shipper and the date at the top of the form. Fill in the shipper's address, including the city, county, and state.
  2. Pickup and Delivery Dates: Specify the actual pickup date, agreed pickup date (if applicable), and the agreed delivery date. If there is a guaranteed delivery date, include that as well.
  3. Notification of Charges: If you want to be notified of actual charges, provide the name and address of the party to be notified.
  4. Weight Information: Fill in the gross weight, tare weight, and net weight of the shipment. If a reweigh is needed, indicate that as well.
  5. Billing Information: Provide billing details, including the name and address for payment. Specify if payment will be made in cash, check, or money order.
  6. Service Data: Complete the service data section, including details about containers, packing, and unpacking services requested.
  7. Customer’s Declaration of Value: Choose one of the options for declaring the value of your shipment. Fill in the total value of the shipment if you wish to declare a higher value.
  8. Delivery Acknowledgment: After the shipment is received, the consignee must acknowledge receipt in good condition, noting any discrepancies.
  9. Signatures: Ensure that both the customer and the carrier sign and date the form where indicated.

Once you have completed these steps, review the form for accuracy. Make sure all necessary signatures are present. After that, you can submit the form to the designated carrier or service provider to initiate the shipping process.

Get Answers on Milburn 875R

  1. What is the Milburn 875R form used for?

    The Milburn 875R form serves as a Uniform Household Goods Bill of Lading. It is a crucial document in the moving process, outlining the terms of transportation for household goods. This form includes details such as the shipper's information, pickup and delivery dates, and any special services requested. Essentially, it acts as a contract between the shipper and the moving company, ensuring that both parties understand their rights and responsibilities during the move.

  2. How do I fill out the Milburn 875R form?

    Filling out the Milburn 875R form requires careful attention to detail. Start by entering the shipper's name and address, including the date of the shipment. Next, specify the actual pickup date and the agreed delivery date. If you have any special service requests, such as expedited service or storage-in-transit, be sure to indicate those as well. It’s important to review all information for accuracy before signing, as this form will govern the terms of your move.

  3. What should I do if I have questions about charges?

    If you have questions regarding charges, the form allows you to request notification of actual charges. You can specify a party to be notified about these charges, which is particularly useful for C.O.D. (Cash on Delivery) shipments. Make sure to provide the correct contact information for the party you want notified. Additionally, you can always reach out to the moving company directly for clarification on any fees or estimates provided.

  4. What are the options for declaring the value of my shipment?

    The Milburn 875R form provides two options for declaring the value of your shipment. Option 1 allows you to select Full (Replacement) Value Protection, which offers comprehensive coverage for your items. If you do not declare a higher value, the default minimum valuation of $6,000 will apply. Option 2 provides a limited liability of $100 per pound for items valued in excess of $100 per pound. It is crucial to understand these options to ensure your belongings are adequately protected during the move.

  5. What happens if my shipment is delayed or damaged?

    In the event of a delay or damage to your shipment, you must file a claim with the carrier within nine months from the date of delivery. The Milburn 875R form outlines the procedures for filing a claim, including the necessity of written notice. Be sure to keep a copy of the form and any related documentation, as this will support your claim and help expedite the resolution process.

  6. Can I waive my right to observe the re-weigh of my shipment?

    Yes, the Milburn 875R form includes a section where you can waive your right to observe the re-weigh of your shipment. This is an optional choice and should be made with careful consideration. Waiving this right means you will not be present to verify the weight of your goods, which can affect the final charges based on weight. If you have concerns about accuracy, it may be wise to retain this right.

  7. What if I need special services during my move?

    The form allows you to request various special services, such as packing, unpacking, or storage-in-transit. You can specify these services directly on the form. Make sure to discuss any additional needs with your moving company beforehand, as this will ensure that they are prepared to accommodate your requests on the day of the move.

  8. Is the Milburn 875R form legally binding?

    Yes, the Milburn 875R form is legally binding. Once signed by both the shipper and the carrier, it serves as a contract that outlines the terms and conditions of the move. It is essential to read and understand all sections of the form before signing, as it governs your rights and responsibilities throughout the moving process.

Common mistakes

When filling out the Milburn 875R form, people often make several common mistakes that can lead to complications later on. One frequent error is failing to provide complete and accurate contact information. This includes the shipper's address, phone number, and any other relevant details. Incomplete information can delay communication and affect the delivery process.

Another common mistake is not specifying the actual pickup and delivery dates clearly. It's essential to indicate both the agreed pickup date and the actual pickup date. If these dates are left blank or are inconsistent, it can lead to confusion about scheduling and availability.

Many individuals overlook the importance of declaring the value of their shipment. The form requires a specific declaration of value for the goods being transported. If this section is not filled out properly, the shipment may be undervalued, leading to inadequate coverage in case of loss or damage.

Additionally, some people forget to sign the form. A signature is crucial as it indicates agreement to the terms and conditions outlined in the document. Without a signature, the form may be considered invalid, which can complicate the shipping process.

Another mistake involves the selection of services. For example, if extra services such as packing or storage are needed, they should be clearly indicated on the form. Failure to do so may result in unexpected charges or a lack of necessary services during the move.

Lastly, individuals sometimes neglect to read the fine print regarding liability and insurance options. Understanding the terms can help in making informed decisions about coverage. Ignoring these details can lead to misunderstandings and potential financial loss if issues arise during the shipping process.

Documents used along the form

The Milburn 875R form is commonly used in the moving and transportation industry. When completing this form, there are several other documents that may also be required. Below is a list of these forms, along with brief descriptions of each.

  • Bill of Lading: This document serves as a contract between the shipper and the carrier. It outlines the terms of the shipment, including the type of goods being transported, the destination, and the agreed-upon charges.
  • Inventory List: An inventory list details all items included in the shipment. This list helps both the shipper and the carrier keep track of the items and can be crucial for claims in case of loss or damage.
  • Insurance Declaration: This form allows the shipper to declare the value of the goods being transported and select an insurance option for added protection during transit.
  • Delivery Receipt: A delivery receipt is signed by the recipient upon receiving the shipment. It confirms that the goods were delivered in satisfactory condition, which can be important for resolving any disputes later.
  • Change of Address Form: If the destination address changes after the shipment has been scheduled, this form notifies the carrier of the new address to ensure proper delivery.

Each of these documents plays a vital role in the shipping process. They help ensure that all parties involved are informed and protected throughout the transportation of goods.

Similar forms

  • Bill of Lading: Similar to the Milburn 875R form, a bill of lading serves as a contract between the shipper and the carrier, detailing the terms of the shipment and providing proof of receipt.
  • Delivery Receipt: This document confirms that the goods have been delivered to the designated recipient, similar to how the Milburn 875R records the delivery acknowledgment.
  • Freight Bill: A freight bill outlines the charges for shipping goods, akin to the Milburn 875R's notification of charges section.
  • Shipping Order: This document instructs the carrier to transport goods, much like the Milburn 875R initiates the moving process.
  • Warehouse Receipt: A warehouse receipt provides evidence of the storage of goods, similar to how the Milburn 875R addresses storage-in-transit options.
  • Customs Declaration: This form declares the nature of goods being imported or exported, paralleling the Milburn 875R’s requirement for detailed shipment information.
  • Insurance Certificate: An insurance certificate proves coverage for goods in transit, reflecting the Milburn 875R's sections on liability and value protection.
  • Packing List: A packing list details the contents of a shipment, similar to the inventory sections found in the Milburn 875R.
  • Service Agreement: This document outlines the terms of service between the shipper and the carrier, much like the contract terms in the Milburn 875R.
  • Claim Form: A claim form is used to report loss or damage during transit, akin to the claims process referenced in the Milburn 875R.

Dos and Don'ts

When filling out the Milburn 875R form, it is important to follow specific guidelines to ensure accuracy and compliance. Here are five things you should and shouldn't do:

  • Do double-check all personal information for accuracy, including names, addresses, and contact numbers.
  • Don't leave any required fields blank; incomplete forms may delay processing.
  • Do clearly indicate any special services requested, such as packing or storage-in-transit.
  • Don't forget to sign and date the form; your signature is necessary for validation.
  • Do keep a copy of the completed form for your records.

By adhering to these guidelines, you can help ensure a smoother process when using the Milburn 875R form.

Misconceptions

Misconceptions about the Milburn 875R Form

  • It is only for moving companies. Many believe that the Milburn 875R form is exclusively used by moving companies. In reality, it can be utilized by any business or individual involved in the transportation of household goods, including freight companies.
  • It guarantees delivery dates. Some users think that signing the Milburn 875R form guarantees specific delivery dates. However, while it outlines agreed-upon dates, unforeseen circumstances can affect actual delivery times.
  • It includes insurance coverage. There is a common belief that the form automatically provides insurance coverage for shipments. The Milburn 875R outlines liability options but does not constitute insurance. Shippers must select appropriate coverage separately.
  • It is a one-size-fits-all document. Many assume that the Milburn 875R form is standardized for all shipments. In truth, the form can be customized based on the specific needs of the shipment, including weight, value, and additional services requested.
  • It is not legally binding. Some people think that the Milburn 875R form is merely a suggestion and not legally binding. In fact, it serves as a contract between the shipper and carrier, outlining responsibilities and liabilities.

Key takeaways

When filling out and using the Milburn 875R form, it's essential to understand its significance in the moving process. Here are four key takeaways to keep in mind:

  • Accurate Information is Crucial: Ensure that all details, including the shipper's name, address, and contact information, are filled out accurately. Any discrepancies could lead to delays or complications in your shipment.
  • Understand Your Options: The form provides various options for declaring the value of your shipment. Familiarize yourself with these options to choose the one that best suits your needs and protects your belongings.
  • Notification of Charges: Be aware of the notification requirements for actual charges, especially if you are using C.O.D. (Cash on Delivery). This will help you avoid unexpected costs at the time of delivery.
  • Signature Matters: Your signature on the form is not just a formality; it confirms your agreement to the terms and conditions outlined. Read through these carefully to understand your rights and responsibilities as a shipper.

By keeping these takeaways in mind, you can navigate the Milburn 875R form with greater confidence, ensuring a smoother moving experience.