Billed

Delivery Receipt Template

Two free delivery receipt templates: a proof of delivery form the recipient signs when goods arrive, and a receipt for courier or delivery charges that have been paid

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Quick answer:A delivery receipt is either a signed proof of delivery, where the recipient confirms which goods arrived, in what quantity and condition, or a courier's receipt for a delivery fee that has been paid. This page has both layouts as a blank PDF form plus pre-filled Word (.docx) and Excel (.xlsx) files. A proof of delivery receipt does not show that anything was paid for.

PROOF OF DELIVERY

RECEIVED

Shipper / supplier

Company name:
Example Supplies Ltd
Address:
40 Example Industrial Estate, Sampletown
Phone:
[Phone]

Delivery reference

Delivery note no.:
DN-20931
Order / PO no.:
PO-5521
Tracking no.:
[Tracking no.]

Recipient

Recipient / company:
Example Office Services
Contact phone:
[Phone]
Delivery address:
45 Sample Park, Unit 3, Sampletown

Delivery

Delivery date:
09 Apr 2026
Delivery time:
10:35
Carrier / driver:
Example Freight, Chris Example
Vehicle reg.:
[Vehicle reg.]
Cartons delivered:
14
  • Item description: Office chair, black (boxed)
    Qty ordered:
    6
    Qty delivered:
    6
    Condition / notes:
    Good
  • Item description: Desk, 140 cm (flat-packed)
    Qty ordered:
    3
    Qty delivered:
    2
    Condition / notes:
    1 back-ordered
  • Item description: Monitor arm
    Qty ordered:
    6
    Qty delivered:
    6
    Condition / notes:
    1 carton dented, contents checked OK

Received by (print name)

Recipient signature

Driver signature

Goods received as listed above. Note any shortage or damage before signing. This document confirms delivery only; it is not a payment receipt.

Proof of delivery receipt: sample preview. Download it below with the other layouts.

Key Features

Everything you need in a professional receipt template.

Two layouts: a proof of delivery receipt (signed acknowledgment, no payment) and a courier delivery payment receipt
Items table with quantity ordered, quantity delivered and condition notes
Order/PO and tracking number fields to match the delivery to the order
Recipient (print name and sign) and driver signature lines
Courier charges: delivery fee, surcharges, tip, total paid and payment method
Blank PDF form to print, plus Word and Excel versions pre-filled with sample values

Download one of 2 receipt layouts

The PDF is a blank form to print and fill in by hand. The Word and Excel files contain the sample details shown in the preview, ready for you to replace with your own.

PROOF OF DELIVERY

RECEIVED

Shipper / supplier

Company name:
Example Supplies Ltd
Address:
40 Example Industrial Estate, Sampletown
Phone:
[Phone]

Delivery reference

Delivery note no.:
DN-20931
Order / PO no.:
PO-5521
Tracking no.:
[Tracking no.]

Recipient

Recipient / company:
Example Office Services
Contact phone:
[Phone]
Delivery address:
45 Sample Park, Unit 3, Sampletown

Delivery

Delivery date:
09 Apr 2026
Delivery time:
10:35
Carrier / driver:
Example Freight, Chris Example
Vehicle reg.:
[Vehicle reg.]
Cartons delivered:
14
  • Item description: Office chair, black (boxed)
    Qty ordered:
    6
    Qty delivered:
    6
    Condition / notes:
    Good
  • Item description: Desk, 140 cm (flat-packed)
    Qty ordered:
    3
    Qty delivered:
    2
    Condition / notes:
    1 back-ordered
  • Item description: Monitor arm
    Qty ordered:
    6
    Qty delivered:
    6
    Condition / notes:
    1 carton dented, contents checked OK

Received by (print name)

Recipient signature

Driver signature

Goods received as listed above. Note any shortage or damage before signing. This document confirms delivery only; it is not a payment receipt.

Proof of delivery receipt

A delivery acknowledgment listing the shipper, recipient, delivery address, date and time, order and tracking numbers, and each item with quantity ordered, quantity delivered and condition, signed by the recipient and the driver; it records goods received, not a payment.

Confirms goods received — no payment shown

Download

COURIER RECEIPT

PAID

Courier

Courier name:
Example Courier Services
Address:
2 Example Depot, Sampletown
Phone:
[Phone]
Tax ID (if applicable):
[Tax ID]

Receipt details

Receipt no.:
CR-7781
Date:
09 Apr 2026
Job / tracking no.:
JOB-30412

Pickup

Sender:
Sam Sample
Pickup time:
11:05
Pickup address:
22 Example Street, Sampletown

Drop-off

Recipient:
Example Studio
Delivered at:
14:20
Drop-off address:
7 Sample Road, Northtown

Shipment

Parcels:
3
Total weight:
6.5 kg
Service level:
Same-day
COURIER RECEIPT line items
ChargeQtyRateAmount
Same-day delivery, first parcel114.0014.00
Additional parcel24.509.00
Weight surcharge13.503.50
After-hours pickup surcharge15.005.00
Subtotal
31.50
Tax ([Tax rate %])
0.00
Tip
4.00
Total
35.50
Amount paid
35.50
Balance
0.00

Payment

Payment method:
Card ending 0000
Paid by:
Sam Sample
Payment reference:
[Reference]

Paid in full. Keep this receipt with your shipping records.

Courier delivery payment receipt

A receipt for a paid courier job showing the pickup and drop-off details, parcel count, weight and service level, the delivery fee and surcharges, tip, total paid and payment method.

Confirms a payment received

Download

Two kinds of delivery receipt

"Delivery receipt" is used for two different documents, and they answer different questions:

  • Proof of delivery receipt. The person receiving goods signs to confirm what arrived, how many, and in what condition. It says nothing about payment: the goods may already be paid for, invoiced on account, or still unpaid.
  • Courier delivery payment receipt. A courier, messenger or delivery service gives this to a customer after taking payment for a delivery job. It records the pickup and drop-off, the parcels, the charges and the amount paid.

If you are handing over goods and want a signature, use the proof of delivery receipt. If you were paid to carry something, use the courier receipt.

What the proof of delivery receipt includes

  • Shipper or supplier details and the recipient's name
  • Delivery address, date and time
  • Order or purchase order (PO) number and tracking number, so the form can be matched to the order
  • An items table: description, quantity ordered, quantity delivered, and condition or notes
  • The recipient's printed name and signature, and the driver's signature

There are no prices, totals or payment fields on this form. Putting quantity ordered next to quantity delivered makes a short delivery visible at the door instead of at month-end.

What the courier delivery payment receipt includes

  • The courier or delivery service's details
  • Pickup and drop-off locations and the date
  • Number of parcels, weight, and service level (for example, same-day or standard)
  • Charges: the delivery fee, any surcharges, any tip, and the total paid
  • The payment method

This one records money received, so it shows what was paid, not what is owed. If the customer will pay later, send an invoice instead and issue the receipt once payment arrives.

Delivery receipt vs. delivery note vs. invoice

These terms overlap in everyday use, so this is how this page uses them:

  • A delivery note (also called a packing slip or dispatch note) is prepared by the sender and travels with the goods, listing what is in the shipment. Billed has a separate delivery note template.
  • A proof of delivery receipt is the recipient's signed confirmation at handover. Many businesses simply have the recipient sign a copy of the delivery note; a separate receipt helps when you want quantity delivered and condition recorded line by line next to the signature.
  • An invoice asks for payment and shows prices, tax and the amount due. Neither delivery document replaces it. See the invoice templates.

Using the same order or PO number on all three makes them easy to match up later.

How to use the proof of delivery receipt

  1. Before the goods leave, fill in the shipper, recipient, delivery address, order/PO and tracking numbers, and list each item with the quantity ordered.
  2. At handover, the recipient counts the goods and the quantity delivered is entered for each line.
  3. Write any shortage, damage or substitution in the condition/notes column before anyone signs. A problem that is not written down at the door is harder to raise afterwards.
  4. The recipient prints their name and signs, and the driver signs. Give the recipient a copy, or photograph the signed form if the original leaves with the driver.

The form records the handover. It does not change the terms of your sales or shipping agreement. If goods arrive damaged, follow the seller's or carrier's claims process and check its time limits.

How to use the courier delivery payment receipt

  1. Enter the pickup and drop-off locations, the date, the number of parcels and their weight, and the service level.
  2. List the delivery fee and any surcharges, such as waiting time or extra stops, and record a tip separately if one was given.
  3. Enter the total paid and the payment method, then give or send the receipt to the customer.

PDF, Word or Excel

Both receipts come in three formats with the same layout:

  • PDF: a blank form to print and fill in by hand, which suits drivers collecting signatures on paper.
  • Word (.docx): pre-filled with sample values that you overwrite before printing or sending.
  • Excel (.xlsx): pre-filled with sample values, useful if you keep delivery records in a spreadsheet.

For receipts that are not about deliveries, see the acknowledgment receipt and itemized receipt templates.

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What's included in this receipt template

Proof of delivery receipt Courier delivery payment receipt
What it confirms The recipient received the listed goods The customer paid for a delivery job
Issued by Shipper, supplier or driver Courier or delivery service
Delivery details Delivery address, date and time, order/PO no., tracking no. Pickup and drop-off, date, parcel count, weight, service level
Line items Description, qty ordered, qty delivered, condition/notes Delivery fee, surcharges, tip
Payment None (not proof of payment) Total paid and payment method
Formats Blank PDF, Word (.docx), Excel (.xlsx) Blank PDF, Word (.docx), Excel (.xlsx)

When this isn't for you

If you need to ask for payment for goods or a delivery, use an invoice: neither layout here shows an amount due. If you ship through a carrier that already captures a signature in its own tracking system, the proof of delivery form repeats that record; it is most useful when you deliver yourself or need item-level quantities and condition. If you only need a contents list to pack with an order, use a delivery note or packing slip.

How To Send Payment Receipts With Billed

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Frequently Asked Questions

Common questions about this receipt template.

Related Templates

Explore more templates for your business.

Acknowledgment Receipt TemplateView Template
Business Receipt Templates (Free)View Template
Free Itemized Receipt TemplateView Template
Free Service Receipt TemplatesView Template
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