Heavy Duty Flat Car Order Form

Clearance File Number:
Shipper:
Origin:
Loading Location:
Zone/Track/Spot:
Street Address of Unloading Location:
Commodity:
STCC:
Height of Load:	(ft., in.)
Width of Load:	(ft., in.)
Base Length of Load:	(ft., in.)
Overall Length of Load:	(ft.,in.)
Weight of Load:	(lbs.)
Pre-Clearance:

Car Series:
Car Type:
Number of Cars Needed:
Date Cars Needed: Seperate requests must be made for each date	(MM/DD/YY)
Party Responsible for Origin detention/demurrage charges:
Party Responsible for Destination detention/demurrage charges:
Method of Payment:	Cash prepayment Credit