Commercial Delivery Proof of Delivery Form

Driver-collected proof of delivery form for auto parts commercial deliveries, capturing delivery details, parts received, shop representative signature, and any exceptions or discrepancies noted at time of delivery.

Delivery & Driver Information

• Delivery Date
  Date the delivery is being made.
• Delivery Time
  Actual time of arrival at the shop.
• Driver Name
• Driver ID / Employee Number
• Delivery Vehicle / Unit Number
• Route Number

Shop & Order Information

• Shop / Account Name
• Account Number
• Shop Address
• Invoice Number(s)
  Enter each invoice number on a separate line. Multiple invoices may be delivered in a single stop.
• Shop Purchase Order (PO) Number
• Total Number of Packages / Boxes Delivered
  Count of individual packages handed off at this stop.

Parts Delivered

• Parts Delivered
  Add one row per line item. Part number and quantity are required for each row.
• Were any cores collected from the shop at this stop?
• Number of Cores Collected
  Enter the total number of core units picked up from the shop.

Delivery Condition & Exceptions

• Overall Condition of Delivery
• Exception Type(s)
  Select all that apply.
• Exception Details
  Be specific. Example: 'Part #BRK-4421 box crushed, rotor visibly cracked. Shop refused item.'
• Exception Photos
  Attach photos of damaged items, packaging, or refused goods. Recommended for all damage and refusal exceptions.
• Reason for Refusal
• Additional Driver Notes

Recipient Confirmation & Signature

• Recipient Name (Print)
• Recipient Title / Role
• Recipient Phone Number
  Optional — for follow-up on exceptions or discrepancies.
• Recipient Signature
  Shop representative signature confirming receipt of delivery as described above.
• Signature Date & Time
  Date and time the signature was collected.
• Was the recipient's identity verified?
  Required for high-value orders or first-time deliveries to a new contact.