Delivery Receipt Template (Free Fillable PDF)
A delivery receipt does two jobs at once: it proves the goods arrived, in what quantity and condition, and it records what the customer paid for the delivery. Couriers, furniture and appliance deliverers, florists and anyone delivering their own products use it to close the “it never came” and “it came damaged” conversations before they start.
Free, fillable, US Letter. No email, no sign-up. The template has a signature and condition line next to the items, so the recipient confirms receipt on the same page that shows the charge.
RECEIPTDelivery receipt template
avoinvoice.com
From
Your business name
Address
Phone · email
Received from
Client name
Client address
Phone · email
| Description | Qty × rate | Amount |
|---|
| Items delivered: description, quantity | | |
| Items delivered | | |
| Delivery charge (base / distance) | | |
| Stairs, waiting time, assembly | | |
| Removal / return of old item | | |
| Received in good condition? (Y / N, notes) | | |
| | | |
| | | |
Amount receivedBalance remainingTotal paid
Items above received in the quantity and condition noted. Delivery charges paid as shown. Claims for damage must be noted on this receipt at the time of delivery.
What the PDF looks like. Hints in the line table show what a courier usually receipts; type over them.
What to include on a delivery receipt
- Your business name and contactThe company that made the delivery, plus the driver's name.
- Sender and recipientWho shipped it and who signed for it, with the delivery address.
- Receipt or order number, date and time of deliveryThe time matters for scheduled windows and for perishables.
- Items and quantitiesDescription, count, and a note on packaging (2 boxes, 1 pallet, 12 arrangements).
- Condition on arrival“Received in good condition” or a short note of damage, initialed by the recipient.
- Delivery charge, surcharges and amount paidBase fee, distance, stairs or waiting time on separate lines; payment method.
- Recipient signature and printed nameThe line that turns the page into proof of delivery.
Example delivery receipt
What was paid for, one line each, then the amount received and the balance still open. For a payment in full the balance is zero.
| Description | Qty × rate | Amount |
|---|
| Local delivery, 3-seat sofa, 2 persons, 12 mi | 1 | $95.00 |
| Stairs, 3rd floor no elevator | 1 | $40.00 |
| Removal of old sofa | 1 | $35.00 |
| Amount received | $170.00 |
| Balance remaining | $0.00 |
How to use the template
- Download the PDFFillable form: opens in any PDF reader on a computer or a phone.
- Fill in your details onceName, contact, the fields in the header. Save it as your master copy.
- Issue one per paymentChange the payer, the date paid, the lines and the amount received. Export, send, keep a copy in the courier's file.
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Questions
What is a proof of delivery receipt?
A document signed by the recipient confirming what arrived, when, and in what condition. This template is one; the signature and condition lines are what make it proof rather than just a charge receipt.
Do I need the recipient's signature on a delivery receipt?
For proof of delivery, yes. If nobody is home and the goods are left, note where and photograph them; write “left at door, photo on file” on the signature line.
Should the delivery receipt show the price of the goods?
Only if you sold the goods as well. A courier delivering for a third party lists the items and the delivery charge, not the merchandise value, unless the shipper asks for it for insurance.
What if the client paid part of the amount?
Issue a receipt for the amount actually received and show the balance remaining on it. When the rest arrives, issue a second receipt that references the first.
Other receipt templates
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