CMR form PDF download, blank and filled-in sample

Free CMR consignment note in PDF, Ukrainian or Polish with English, a filled-in sample and all 24 boxes explained: who fills each and what goes into RMPD.

In short

  • The CMR form below is free, A4, with 24 numbered boxes, in Ukrainian and English or in Polish and English.
  • The blank has three pages, one for each original: for the sender, the consignee and the carrier (art. 5 of the CMR Convention).
  • The sender fills in boxes 1 to 15, the carrier boxes 16 to 18 and 23, the consignee box 24.
  • Boxes 1, 2, 3, 4, 16 and 21 and the note number go into the RMPD filing one to one, even when the CMR contains a mistake.
  • A mismatch between the RMPD filing and the note costs the carrier 12 000 zł (Annex 3, item 3.2a of the Polish Road Transport Act).
  • A mistake in the CMR is corrected by the sender before departure, not by the dispatcher in the filing.

Download the CMR form as PDF

The blank and the sample are drawn from scratch following the classic CMR box layout. Print on A4 without scaling. The sigil.com.ua mark sits in the bottom margin and never overlaps a box.

Ukrainian and English

  • Blank CMR form, PDF

    Three pages: copies for the sender, the consignee and the carrier.

  • Filled-in CMR sample, PDF

    One page of invented data, marked “ЗРАЗОК / SAMPLE”. Boxes that go into the RMPD filing carry an RMPD tag.

Polish and English

  • Blank CMR form, PDF

    Three pages: copies for the sender, the consignee and the carrier.

  • Filled-in CMR sample, PDF

    One page of invented data, marked “ЗРАЗОК / SAMPLE”. Boxes that go into the RMPD filing carry an RMPD tag.

Every company, address, plate and seal in the sample is invented. Plates use the digits 0000 so they cannot match a real vehicle.

Why the CMR data must match the RMPD filing

A Ukrainian carrier fills in the Polish RMPD filing from the CMR note, and the data are copied one to one. The sender from box 1, the consignee from box 2, the place of delivery from box 3, the place and date of taking over from box 4, the carrier from box 16, the date from box 21 and the form number go into sections 1, 3, 4 and 5 of the RMPD100 form. The full mapping is in What transfers from CMR to RMPD100 and what does not.

A roadside inspector compares three things: the filing in the register, the CMR in the cab and the truck in front of him. A mismatch between the filing and the note costs the carrier 12 000 zł, about 138 394 UAH at the National Bank of Ukraine rate of 11,5328 UAH/zł on 30.10.2026 (Annex 3, item 3.2a of the Road Transport Act). What other breaches cost is shown in the SENT and RMPD fine calculator.

That is why the dispatcher never corrects CMR data in the filing, even after spotting a mistake. An incomplete address or the wrong consignee is corrected by the sender on the note itself before departure, and only then do the data go into the RMPD filing.

How to fill in a CMR, box by box

Each box shows who fills it in, what to write and where mistakes happen most often. The RMPD tag marks a box that goes into the filing.

Parties and route, boxes 1 to 5

Box 1. Sender (name, address, country)RMPD

Filled in by:
sender
What to write:
The sender's full company name, address with postcode and country, exactly as in the contract and the invoice.
Common mistake:
A stamp with two addresses and no address written in the box. The carrier copies the box 1 address into the RMPD, so it has to be complete.
In RMPD100:
section 4, sender of the goods

Box 2. Consignee (name, address, country)RMPD

Filled in by:
sender
What to write:
Name, address and country of the company that takes delivery. A different unloading warehouse goes into box 3.
Common mistake:
A forwarder instead of the actual consignee, or two companies in one box. The carrier copies whoever is written there into the RMPD, so fix it before departure.
In RMPD100:
section 5, consignee of the goods

Box 3. Place of delivery of the goods (place, country)RMPD

Filled in by:
sender
What to write:
Town and country of unloading, ideally with the warehouse address and opening hours.
Common mistake:
The consignee's registered office instead of the warehouse. The RMPD asks for the actual place where carriage in Poland ends.
In RMPD100:
3.8 place where the carriage ends and 3.2 country of unloading

Box 4. Place and date of taking over the goods (place, country, date)RMPD

Filled in by:
sender
What to write:
Town, country and date on which the carrier took over the goods.
Common mistake:
Copying this date into the RMPD as the start date. The start date in the filing is the day of entry into Poland, not the day of loading in Ukraine.
In RMPD100:
3.7 place where the carriage starts and 3.2 country of loading

Box 5. Documents attached

Filled in by:
sender
What to write:
The documents the sender handed to the driver: invoice, packing list, certificates, with numbers and dates.
Common mistake:
Writing "documents enclosed" without numbers. Later nobody can prove what the driver actually received.

Goods, boxes 6 to 12

Box 6. Marks and Nos

Filled in by:
sender
What to write:
Markings on the packaging, pallet or seal numbers.
Common mistake:
An empty box for marked goods. When one package goes missing there is nothing to show which one.

Box 7. Number of packages

Filled in by:
sender
What to write:
The number of packages: pallets, cases, big bags.
Common mistake:
A figure the driver did not count. If counting is impossible, the driver says so in box 18.

Box 8. Method of packing

Filled in by:
sender
What to write:
Pallets, cartons, sacks, or "in bulk" when there is no packaging.
Common mistake:
An empty box for unpacked goods. Write "in bulk" or "unpacked".

Box 9. Nature of the goods

Filled in by:
sender
What to write:
The ordinary name of the goods. For dangerous goods also the UN number, class and packing group in the ADR line below the goods boxes.
Common mistake:
A vague "goods" or "general cargo". The name has to match the invoice.

Box 10. Statistical number

Filled in by:
sender
What to write:
The customs commodity code (CN or the Ukrainian UKTZED), where the sender or customs asks for it.
Common mistake:
The invoice number instead of the commodity code. The RMPD does not need the CN code, as RMPD100 has no goods fields.

Box 11. Gross weight in kg

Filled in by:
sender
What to write:
Weight including packaging, in kilograms.
Common mistake:
The net weight from the invoice. The carrier's liability limit is counted on gross weight, 8.33 SDR per kilogram (art. 23 of the Convention).

Box 12. Volume in m³

Filled in by:
sender
What to write:
Volume in cubic metres, if the sender gives it.
Common mistake:
Tonnage in the volume box. An empty box is better than a wrong figure.

Instructions, payment and agreements, boxes 13 to 15, 19 and 20

Box 13. Sender's instructions (customs and other formalities)

Filled in by:
sender
What to write:
Where customs clearance takes place, no transhipment, temperature, other instructions for the carriage.
Common mistake:
A new instruction by phone after departure. The sender can change the place of delivery only by producing the first copy with the instruction entered on it (art. 12 of the Convention).

Box 14. Instructions as to payment for carriage

Filled in by:
sender
What to write:
Tick "carriage paid" when the sender pays or "carriage forward" when the consignee pays.
Common mistake:
Neither option ticked. A dispute over payment is then settled by the contract alone and the note proves nothing.

Box 15. Cash on delivery

Filled in by:
sender
What to write:
The amount and currency the carrier must collect from the consignee on delivery. No cash on delivery, the box stays empty.
Common mistake:
Delivering without collecting it. The carrier then compensates the sender out of pocket, up to the amount of the charge (art. 21 of the Convention).

Box 19. Special agreements

Filled in by:
sender and carrier
What to write:
What the sender and carrier agreed separately: delivery deadline, declared value, no transhipment.
Common mistake:
A delivery deadline promised only by phone. Delay is counted from the agreed time limit (art. 19 of the Convention), which is hard to prove without an entry.

Box 20. To be paid by

Filled in by:
sender and carrier
What to write:
Carriage charges, deductions, supplements and other charges with currency, separately for sender and consignee.
Common mistake:
An empty table when the consignee pays. At least mark who pays, even without an amount.

Carrier, boxes 16 to 18

Box 16. Carrier (name, address, country)RMPD

Filled in by:
carrier
What to write:
The carrier's name, address and country. On a form with no separate boxes for plates, the tractor and trailer plates go here too.
Common mistake:
The forwarder's name instead of the company actually driving. In the RMPD the carrier's details must match whoever carries the goods.
In RMPD100:
section 1, carrier; tractor and trailer plates go to section 2

Box 17. Successive carriers (name, address, country)

Filled in by:
successive carrier
What to write:
Name and address of the carrier taking over the goods for the next leg, with date and signature.
Common mistake:
An empty box when another company took over the goods. A successive carrier becomes a party to the contract by accepting the goods and the note (art. 34 of the Convention).

Box 18. Carrier's reservations and observations

Filled in by:
carrier
What to write:
What the driver could not check or what is visible at loading, with the reason: torn film, packages not counted, sender's seal.
Common mistake:
An empty box when packaging is damaged. Without a reservation the goods are presumed taken over in good order (art. 9 of the Convention).

Date and signatures, boxes 21 to 24

Box 21. Established in, onRMPD

Filled in by:
sender
What to write:
Town and date on which the note is made out. The form number sits in the top right corner.
Common mistake:
"No number" or the same number on several notes. Number and date go into the RMPD as the transport document, and a repeated number also breaks customs clearance.
In RMPD100:
3.3 date of the transport document; the form number goes to 3.3 as the document number

Box 22. Signature and stamp of the sender

Filled in by:
sender
What to write:
The sender's signature and stamp on each of the three originals.
Common mistake:
Signing the first copy only. The Convention requires three originals signed by the sender and the carrier (art. 5).

Box 23. Signature and stamp of the carrier

Filled in by:
carrier
What to write:
Signature of the driver or the carrier's representative and stamp when taking over the goods.
Common mistake:
Signing before counting the packages. A signature with no reservations in box 18 confirms the goods were taken over as described.

Box 24. Goods received (place, date, signature and stamp of the consignee)

Filled in by:
consignee
What to write:
Place, date and time of arrival, signature and stamp of the consignee, remarks at unloading.
Common mistake:
A signature with no date. Claim deadlines run from the day of delivery: 7 days for hidden damage (art. 30 of the Convention).

Why another form may number its boxes differently

The CMR Convention does not number boxes, it only lists the particulars a consignment note must contain (art. 6). The numbers come from the form model. This form follows the classic IRU model of 1976: the carrier in box 16, the carrier's reservations in box 18. Sigil's knowledge base articles use the same numbers.

The IRU model of 2007 numbers differently: the carrier in box 6, reservations in box 8, documents attached in box 9, the goods in boxes 10 to 15. On a form of that model, go by the name of the box, not its number.

Form and text checked

Frequently asked questions

Can I print this CMR form and travel with it?
Yes. The Convention does not require a form from a particular printer, it requires the particulars of art. 6 and three signed originals. The form has all 24 boxes and the statement that the carriage is subject to the Convention. Print the three pages on A4 without scaling.
Who fills in the CMR note, the sender or the carrier?
Both, each their own boxes. The sender fills in boxes 1 to 15 and is liable for their accuracy (art. 7 of the Convention). The carrier fills in boxes 16 to 18 and signs box 23. The consignee signs box 24 at unloading.
Can a CMR mistake be corrected directly in the RMPD filing?
No. The filing has to match the note the driver carries in the cab. An address corrected in the RMPD is the same mismatch the carrier pays 12 000 zł for. The sender corrects the mistake on the CMR itself before departure.
Why a filled-in sample when there is a blank form?
To see what goes where. Every box of the sample is filled in with invented data, and boxes that go into the RMPD filing carry a tag. The sample cannot be used as a document, it is marked “ЗРАЗОК / SAMPLE”.

Sigil files RMPD from a photo of your CMR, and you check every field against the original before it is sent.

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