Web Bill of Lading Replacement Confirmation

Date ___________________

Original Bill of Lading or Sea Waybill Number _____________________________________

Customer: __________________________________________________________________

Customer has requested that APL authorize the printing of a replacement set of Bills of Lading
(or Sea Waybills) for the following reason:

______ Previous set was damaged during printing

X
______ Previous set was incorrect; following changes was required (please detail)

GROSS WEIGHTS

______ Other: (please explain) ___________________________________________________

Customer understands and agrees that in any dispute arising out of the issuance of
replacement bills, it shall have the burden of proof to show that it complied with APL’s
instructions. The Customer shall indemnify APL fully from all and any liability which may arise as
a result of the Customer’s failure to destroy the previous original bills of lading.

I am authorized to make this certification on behalf of Customer and declare the foregoing to be
true and correct.

I confirm that all previous original bills of lading will have been destroyed prior to receipt of the
replacement set.

Signature: ____________________________
LOGISTICS STAFF
Title: ________________________________

Please fax the completed form to your local APL office (the same fax number to which you
submit Bill of Lading instructions).