Islands Freight Forwarders LLC

Admin dock receipt — internal use only

12457 Flatlands Ave, Brooklyn, NY 11208
718-676-0578 · WhatsApp 646-500-4030
F.M.C. OTI No. 034336NF

📦 Shipping information

Capture sender and receiver details exactly as they should appear on the receipt.

Ship from (sender)

Name / company*

Phone*

Street address*

City*

ZIP / postal code*

Country

Email*

Needed to email the receipt or send a signing link.

Ship to (receiver)

Name / company*

Phone*

Street address*

City*

Country*

Email address

🚢 Shipping details

Shipping method*

Sea Air freight

Customer reference number

Final destination*

Service type*

Door to door Door to port

💳 Payment and insurance

The payment itself is taken in the separate system. This just records what the customer agreed to.

Payment terms (tick all that apply) Insurance*

Accepted Declined

$50 buys $100 of coverage. Without it, total liability on this contract is capped at $100.

📋 Cargo details

Sea volume is L × W × H ÷ 1728. Air dimensional weight is L × W × H ÷ 166, always rounded up.

Packaging type and quantity

Boxes

Barrels

Packages

These quantities are used for the piece totals on the manifest and receipt.

Actual 0.0 lbs Dimensional 0 lbs Cu ft 0.00 Chargeable 0 lbs

Shipping instructions / seals

Amount due (US$)

Staff notes

📄 Terms and hazmat

Customer has read and agreed to the terms above* Customer acknowledges the liability limits and insurance requirements*

⚠️ Hazardous material declaration Shipment declared as*

Hazardous Non-hazardous

✍️ Signature and ID

A dock receipt isn't complete without a signature and ID. Choose how you're collecting them.

Customer is hereThey sign and show ID now, at the counter. Send a signing linkMailbox customers sign and upload ID from their own phone.

Customer full name (as signature)*

Date*

Sign here*

Customer signs with finger or mouse.

ID type*

ID number*

Country of issue*

Expiration date*

ID photo or scan*

📷 Photograph or choose the customer's ID

No ID chosen yet.

Checking your sign-in…

Islands Freight Forwarders LLC

📦 Shipping information

Ship from (sender)

Ship to (receiver)

🚢 Shipping details

💳 Payment and insurance

📋 Cargo details

Packaging type and quantity

📄 Terms and hazmat

✍️ Signature and ID

Dock receipt saved