02_Atch2_DD1907.pdf

DoD Form PDF 128 KB Posted

Attached to
Transport of International Organization for Standardization (ISO) Containers and Government-owned/controlled Containers
Solicitation number
FA520911T0092
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Attachment 2 to the Minutes (DD Form 1907)

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Who attaches DD Form 1907

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Department of the Air Force Pacific Air Forces 1

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SIGNATURE AND TALLY RECORD

(See DoD 4500.9-R for guidance)

(Use of equivalent carrier-furnished signature and tally record is acceptable.)

OMB No. 0702-0027 OMB approval expires Jun 30, 2012

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM AS DIRECTED IN THE

DISTRIBUTION INSTRUCTIONS BELOW.

DISTRIBUTION INSTRUCTIONS

(1) The SHIPPER will print two copies, retain one copy and give one to the Origin Carrier.

(2) The ORIGIN CARRIER will deliver one copy with original signatures to the Destination Carrier.

(3) The DESTINATION CARRIER will attach one copy (reflecting all original signatures) and Standard Form 1113, Public Voucher for Transportation Charges, to the original Commercial Bill of Lading and forward for payment. Reproduced completed copy of DD Form 1907 will be delivered to the Consignee and one will be retained.

(4) The CONSIGNEE will ensure Destination Carrier surrenders a reproduced copy of completed form with all signatures.

SECTION I - TO BE COMPLETED BY THE SHIPPER

1a. SHIPPER NAME b. ORIGIN

2. PROTECTIVE SERVICE REQUESTED 3. COMMERCIAL BILL OF LADING NUMBER

4a. CONSIGNEE NAME b. DESTINATION

5. PERMIT NUMBER (If any) 6. TRANSPORTATION CONTROL NUMBER

7. ROUTING 8. WEIGHT 9. CUBE

10. SPECIAL INSTRUCTIONS 11. DATE SHIPMENT TENDERED

TO CARRIER (YYYYMMDD)

12. NAME OF CARRIER 13. NUMBER OF PIECES

14. TYPE OF PACKAGE(S) (For unsealed loads only) OR CONVEYANCE IDENTIFICATION AND SEAL NUMBERS (For sealed loads only)

15. FREIGHT CLASSIFICATION DESCRIPTION

SECTION II - TO BE COMPLETED BY EACH PERSON ACCEPTING CUSTODY OF CLASSIFIED OR PROTECTED MATERIAL

REQUIRING THE USE OF TRANSPORTATION PROTECTIVE SERVICE DURING TRANSIT

16. CUSTODY RECORD

PRINT NAME OF PERSON AND

COMPANY REPRESENTED

a.

STATION INTERCHANGE POINT

DESTINATION

b.

SIGNATURE OF PERSON

ACCEPTING CUSTODY

c.

TIME

ACCEPTED

d.

DATE ACCEPTED

(YYYYMMDD)

e.

DD FORM 1907, OCT 2010 PREVIOUS EDITION IS OBSOLETE. Adobe Designer 8.0

The public reporting burden for this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 1155 Defense Pentagon, Washington, DC 20301-1155 (0702-0027). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

16. CUSTODY RECORD (Continued)

PRINT NAME OF PERSON AND

COMPANY REPRESENTED

a.

STATION INTERCHANGE POINT

DESTINATION

b.

SIGNATURE OF PERSON

ACCEPTING CUSTODY

c.

TIME

ACCEPTED

d.

DATE ACCEPTED

(YYYYMMDD)

e.

DD FORM 1907 (BACK), OCT 2010

DD Form 1907, Signature and Tally Record, October 2010

WHS/ESD/IMD

D:20061115143459- 05'00' D:20061115151240- 05'00'

SIGNATURE AND TALLY RECORD

(See DoD 4500.9-R for guidance) (Use of equivalent carrier-furnished signature and tally record is acceptable.)

OMB No. 0702-0027 OMB approval expires Jun 30, 2012 PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM AS DIRECTED IN THE DISTRIBUTION INSTRUCTIONS BELOW.

DISTRIBUTION INSTRUCTIONS

(1) The SHIPPER will print two copies, retain one copy and give one to the Origin Carrier.

(2) The ORIGIN CARRIER will deliver one copy with original signatures to the Destination Carrier.

(3) The DESTINATION CARRIER will attach one copy (reflecting all original signatures) and Standard Form 1113, Public Voucher for Transportation Charges, to the original Commercial Bill of Lading and forward for payment. Reproduced completed copy of DD Form 1907 will be delivered to the Consignee and one will be retained.

(4) The CONSIGNEE will ensure Destination Carrier surrenders a reproduced copy of completed form with all signatures.

SECTION I - TO BE COMPLETED BY THE SHIPPER

1a. SHIPPER NAME

b. ORIGIN

2. PROTECTIVE SERVICE REQUESTED

3. COMMERCIAL BILL OF LADING NUMBER

4a. CONSIGNEE NAME

b. DESTINATION

5. PERMIT NUMBER (If any)

6. TRANSPORTATION CONTROL NUMBER

7. ROUTING

8. WEIGHT

9. CUBE

10. SPECIAL INSTRUCTIONS

11. DATE SHIPMENT TENDERED

TO CARRIER (YYYYMMDD)

12. NAME OF CARRIER

13. NUMBER OF PIECES

14. TYPE OF PACKAGE(S) (For unsealed loads only) OR CONVEYANCE IDENTIFICATION AND SEAL NUMBERS (For sealed loads only)

15. FREIGHT CLASSIFICATION DESCRIPTION

SECTION II - TO BE COMPLETED BY EACH PERSON ACCEPTING CUSTODY OF CLASSIFIED OR PROTECTED MATERIAL

REQUIRING THE USE OF TRANSPORTATION PROTECTIVE SERVICE DURING TRANSIT

16. CUSTODY RECORD

PRINT NAME OF PERSON AND

COMPANY REPRESENTED

a.

STATION INTERCHANGE POINT

DESTINATION

b.

SIGNATURE OF PERSON

ACCEPTING CUSTODY

c.

TIME

ACCEPTED

d.

DATE ACCEPTED

(YYYYMMDD)

e.

DD FORM 1907, OCT 2010

PREVIOUS EDITION IS OBSOLETE.

Adobe Designer 8.0 The public reporting burden for this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 1155 Defense Pentagon, Washington, DC 20301-1155 (0702-0027). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

16. CUSTODY RECORD (Continued)

PRINT NAME OF PERSON AND

COMPANY REPRESENTED

a.

STATION INTERCHANGE POINT

DESTINATION

b.

SIGNATURE OF PERSON

ACCEPTING CUSTODY

c.

TIME

ACCEPTED

d.

DATE ACCEPTED

(YYYYMMDD)

e.

DD FORM 1907 (BACK), OCT 2010

1.a. Shipper name.:
b. Origin.:
2. Protective Service requested.:
3. Commercial bill of lading number.:
4.a. Consignee name.:
b. Destination.:
5. Permit number, if any.:
6. Transportation Control Number.:
7. Routing.:
8. Weight.:
9. Cube.:
10. Special instructions.:
11. Date shipment tendered to carrier (4 digit year, 2 digit month, 2 digit day, no spacers).:
12. Name of Carrier.:
13. Number of pieces.:
14. Type of package(s) (for unsealed loads only) or conveyance identification and seal numbers (for sealed loads only).:
15. Freight classification description.:
16.a. Print name of person and company represented, line 1.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted. Four digit year, 2 digit month, 2 digit day.:
16.a. Name, line 2.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 3.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 4.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted. :
16.a. Name, line 5.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 6.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 7.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 8.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 9.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 10.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 11.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 12.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 13.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 14.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 15.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 16.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 17.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 18.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 19.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 20.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 21.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 22.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 23.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 24.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 25.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 26.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 27.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 28.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 29.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 30.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 31.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 32.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 33.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 34.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
16.a. Name, line 35.:
b. Station interchange point destination.:
c. Signature of person accepting custody.:
d. Time accepted.:
e. Date accepted.:
Click this Reset button to erase data from all fields.:

File details come from the government source that posted it. Updated .