Proof of delivery form with condition, photo and signature
When a delivery is disputed, a signed record settles it. This compact form asks for the recipient's name, the delivery or order number, the date and time, the condition of the goods (perfect, minor damage or damaged), notes, a photo and the recipient's signature.
Who it is for
- Couriers, small delivery businesses and drivers
- Shops and workshops that deliver their own goods
- Installers who deliver equipment to customers
When to use it
Hand the recipient a phone or tablet at the door, or send the link right after delivery. Recording the condition of the goods on the spot, with a photo, helps if there is a later claim for damage.
What the form asks
Questions
- Recipient name · requiredShort text
- Delivery or order number · requiredShort text
- Date · requiredDate
- TimeTime
- Condition of the goods · requiredMultiple choice
- NotesLong text
- Photo (PNG or JPEG)Image upload
- Recipient signature · requiredSignature
Every question can be changed, removed or reordered before you publish.
The PDF your respondents receive
The PDF shows the delivery number, the date and time, the condition, the photo and the signature. Keep it with your order records, or send a copy to the customer.

Questions people ask
- Does it track deliveries?
- No. It records the handover at the door. It does not track parcels or routes.
- Is the signature enough proof?
- It is a helpful record with a date, a photo and a drawn signature. Its weight depends on the circumstances and your local law.
- Can I use it without internet at the door?
- The form needs a connection to be sent. If coverage is poor, complete it when you have signal.
Start from this template
Create an account, adapt the questions and the document to your business, then share the link. Your respondents get their PDF the moment they finish.