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Run: Commercial Delivery Proof of Delivery Form

A proof of delivery form for commercial auto parts drops that records the delivery, the parts received, exceptions, and the shop representative’s signature i...

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Delivery & Driver Information

Delivery Date (required)

Date the delivery is being made.

Delivery Time (required)

Actual time of arrival at the shop.

Driver Name (required)

Driver ID / Employee Number (required)

Delivery Vehicle / Unit Number (required)

Route Number

Shop & Order Information

Shop / Account Name (required)

Account Number (required)

Shop Address (required)

Invoice Number(s) (required)

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 (required)

Count of individual packages handed off at this stop.

Parts Delivered

Parts Delivered (required)

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? (required)

Number of Cores Collected (required)

Enter the total number of core units picked up from the shop.

Delivery Condition & Exceptions

Overall Condition of Delivery (required)

Exception Type(s) (required)

Select all that apply.

Exception Details (required)

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 (required)

Additional Driver Notes

Recipient Confirmation & Signature

Recipient Name (Print) (required)

Recipient Title / Role

Recipient Phone Number

Optional — for follow-up on exceptions or discrepancies.

Recipient Signature (required)

Shop representative signature confirming receipt of delivery as described above.

Signature Date & Time (required)

Date and time the signature was collected.

Was the recipient's identity verified? (required)

Required for high-value orders or first-time deliveries to a new contact.

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