DGLQ Dangerous Goods Declaration

Only complete this document if you have Dangerous Goods Training
Please refer to our Dangerous Goods Policy and Dangerous Goods Guide for any restrictions
This document is not permitted for air transport, or radioactive consignments/shipments
If you are unable to complete the technical detail of the shipment please refer to the Material Safety Data Sheet
Seek advice from the Dangerous Goods trained staff in your branch.

Required field

DGLQ: Yes No

Shipper Details

Company Name:

Address and Shipper's Reference:

Phone:

Consignee Details

Company Name:

Full Delivery Address:

Item Details

Item 1
UN or ID Proper Shiping Name
Class Packaging Group
Item Description
Units Total
Add another item

Item 2
UN or ID Proper Shiping Name
Class Packaging Group
Item Description
Units Total
Remove item Add another item

Item 3
UN or ID Proper Shiping Name
Class Packaging Group
Item Description
Units Total
Remove item Add another item

Item 4
UN or ID Proper Shiping Name
Class Packaging Group
Item Description
Units Total
Remove item

Flashpoint (°C):

Marine Pollutant:
Yes No

Quantity and Type of Packaging:

Total Weight (Kg):

Additional Handling Information: In an emergency call Fire or Police on 111

I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are classified, packaged, marked and labelled / placarded, and are in all respects in proper condition for transport according to the applicable international and national governmental regulations. I declare that all of the applicable transport requirements have been met.

Name:

Position:

Location:

Date:

If you have trouble submitting the above form, you can download a pdf version below.

Shipper's Declaration for Dangerous Goods

New to Post Haste?

DGLQ Dangerous Goods Declaration

Shipper Details

Consignee Details

Item Details

Item 1

Item 2

Item 3

Item 4

Additional Handling Information: In an emergency call Fire or Police on 111

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