Multimodal Goods Form PDF Details

In the realm of international shipping, safety and compliance with regulations are paramount, especially when it comes to the transport of dangerous goods. The Multimodal Dangerous Goods Form plays a critical role in this process, serving as a declaration by shippers that their consignment of hazardous materials is properly classified, packaged, marked, labeled, and in condition for safe transport in accordance with both international and national regulations. This document fulfills the requirements set forth by SOLAS 74, chapter VII, regulation 54; and MARPOL 79/78, Annex III, regulation 4, ensuring that all parties involved in the transport of dangerous goods are well-informed of their characteristics and handling requirements. It covers essential information such as shipper, consignee, and carrier details, transport document numbers, shipping marks, and a comprehensive description of the goods being shipped, including their classification, quantity, and the total gross mass. Additionally, the form includes sections for declaring specific transport conditions applicable to the cargo and acknowledges receipt and packing/loading certifications by the involved entities, enhancing the safety and efficiency of multimodal transport operations. The use of the Multimodal Dangerous Goods Form represents a unified effort to mitigate the risks associated with the transportation of hazardous materials, ensuring they reach their destination safely.

QuestionAnswer
Form NameMultimodal Goods Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesmultimodal dangerous goods form excel format, get the multimodal dangerous goods form, mo41 dg form, multimodal dangerous goods form fillable

Form Preview Example

MULTIMODAL DANGEROUS GOODS FORM

This form may be used as a dangerous goods declaration as it meets the requirements of SOLAS 74, chapter VII, regulation 54; MARPOL 79/78, Annex III, regulation 4.

1 Shipper/Consignor/Sender

 

 

2 Transport document number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 Page 1 of ___________ pages

4 Shipper’s reference

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5 Freight forwarder’s reference

 

 

 

 

 

 

 

 

 

 

 

 

6

Consignee

 

 

 

7 Carrier (to be completed by the Carrier)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SHIPPER’S DECLARATION

 

 

 

 

 

 

 

 

 

 

 

I herby declare that the contents of this consignement are fully and accurately described

 

 

 

 

 

 

below by the Proper Shipping Name, and are classified, packaged, marked and labeled/placarded

 

 

 

 

 

 

and are in all respects in proper condition for transport according to the applicable international

 

 

 

 

 

 

and national government regulations.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

This shipment is within the limitations prescribed for:

9 Additional handling information

 

 

 

 

 

(Delete non-applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PASSENGER AND

 

 

CARGO AIRCRAFT

 

 

 

 

 

 

 

 

CARGO AIRCRAFT

 

 

ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10 Vessel/flight no. and date

 

11

Port/place of loading

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12

Port/place of discharge

 

13

Destination

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14 Shipping marks

 

Number and kind of packages; description of goods

 

Gross mass (kg)

 

Net mass (kg)

Cube (m3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15 Container identification No.

 

16 Seal number(s)

17 Container/vehicle & type

 

18 Tare mass (kg)

 

 

19 Total gross mass (including tare) (kg)

 

Vehicle registration No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTAINER / VEHICLE PACKING

21 RECEIVING ORGANIZATION RECEIPT

 

 

 

 

CERTIFICATE

 

 

 

 

 

 

 

 

 

 

Received the above number of packages/containers/trailers in apparent good order and

I hereby declare that the goods described above have

condition, unless stated hereon: RECEIVING ORGANIZATION REMARKS:

 

been packed/loaded into the container/vehicle identified

 

 

 

 

 

 

 

 

above in accordance with the applicable provisions.+

 

 

 

 

 

 

 

MUST BE COMPLETED AND SIGNED FOR ALL

 

 

 

 

 

 

 

COUNTAINER/VEHICLE LOADS BY PERSON

 

 

 

 

 

 

 

RESPONSIBLE FOR PACKING/LOADING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20 Name of company

 

 

 

Haulier’s name

 

 

 

22 Name of company (OF SHIPPER

 

 

 

 

 

 

 

 

 

 

 

PREPARING THIS NOTE)

 

 

 

 

 

 

Vehicle registration no.

 

 

 

 

 

Name/status of declarant

 

 

 

 

 

 

Name/status of declarant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Place and date

 

 

 

Signature and date

 

 

 

Place and date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of declarant

 

 

 

DRIVER’S SIGNATURE

 

 

 

Signature of declarant

 

 

 

 

 

 

 

 

 

 

 

 

 

DANGEROUS GOODS

You must specify: Proper Shipping Name, hazard class, UN No., packing group, (where assigned) marine pollutant and observe the mandatory requirements under applicable national and international government regulations. For the purposes of the IMDG Code see 5.4.1.1

+For the purpose of the IMDG Code, see 5.4.2

Form provided by Navigational Logistics, Inc. - http://www.navigationallogistics.com

MULTIMODAL DANGEROUS GOODS FORM

1 Shipper/Consignor/Sender

2 transport document number

3 Page 1 of ___________ pages

4 Shipper’s reference

5 Freight forwarder’s reference

14 Shipping marks

Number and kind of packages; description of goods

Gross mass (kg)

Net mass (kg)

Cube (m3)

How to Edit Multimodal Goods Form Online for Free

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1. To get started, while completing the get the multimodal dangerous goods form, start out with the area that has the subsequent blanks:

Guidelines on how to complete dg multimodal part 1

2. Your next stage would be to fill out all of the following fields: Container identification No, Seal numbers, Containervehicle type, Tare mass kg, Total gross mass including tare kg, CONTAINER VEHICLE PACKING, I hereby declare that the goods, MUST BE COMPLETED AND SIGNED FOR, RECEIVING ORGANIZATION RECEIPT, Received the above number of, Name of company, Hauliers name, Name of company OF SHIPPER, Namestatus of declarant, and Vehicle registration no.

Filling out segment 2 of dg multimodal

As to Tare mass kg and Hauliers name, make sure that you review things here. Both of these are the most significant fields in the file.

3. This step is generally simple - fill out every one of the empty fields in Namestatus of declarant, Vehicle registration no, Namestatus of declarant, Place and date, Signature and date, Place and date, Signature of declarant, DRIVERS SIGNATURE, Signature of declarant, DANGEROUS GOODS You must specify, For the purpose of the IMDG Code, and Form provided by Navigational in order to complete the current step.

dg multimodal writing process explained (part 3)

4. Your next subsection requires your involvement in the subsequent places: ShipperConsignorSender, transport document number, Page of pages, Shippers reference, Freight forwarders reference, Shipping marks, Number and kind of packages, Gross mass kg, Net mass kg, and Cube m. Ensure you fill out all required information to go forward.

dg multimodal conclusion process outlined (step 4)

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