Hazardous Material Short Form, Three-Part Carbonless, 7 x 8.5, 250 Forms Total

• Use this simplified form to itemize up to 10 articles.
• Hazardous material information areas.
• Includes Memorandum Copy for agent's or shipper's files.

Hazardous material check-off column highlighted with red symbol. Emergency response phone number box with red printing. For ten or fewer items.