DGLQDangerous Goods Declaration

Only complete this document if you have Dangerous Goods Training
Please refer to our Dangerous Goods Policy and Dangerous Goods Guide for any restrictions
This document is not permitted for air transport, or radioactive consignments/shipments
If you are unable to complete the technical detail of the shipment please refer to the Material Safety Data Sheet
Seek advice from the Dangerous Goods trained staff in your branch.

Required field

DGLQ: Yes No

Company Name:

Address and Shipper's Reference:

Phone Number:

Company Name:

Full Delivery Address:

Flashpoint: (°C)

Marine Pollutant:
Yes No

Quantity and Type of Packaging:

Total Weight: (Kg)


I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are classified, packaged, marked and labelled/placarded, and are in all respects in proper condition for transport according to the applicable international and national governmental regulations. I declare that all of the applicable transport requirements have been met.
Name: Position:
Location: Date:

If you have trouble submitting the above form, you can download a pdf version below.