Overcharge Claims Form

* indicates required field



Form for Presentation of:
Overcharge Claim
Duplicate Payment

$







Detailed Statement of Claim
Freight Bill #* Date (MM/DD/YYYY)* Description Weight Rate Freight Charges*
Click Add Row for additional line. Freight Bill #, Date and Freight Charges are required on the first line. Charges Are:

Freight Bill #* Date (MM/DD/YYYY)* Description Weight Rate Freight Charges*
Click Add Row for additional line. Freight Bill #, Date and Freight Charges are required on the first line. Charges Should Be:





Original Paid Freight Bill
Freight Bill Paid Information
Original Invoice or Certified Copy When Claim Is Based on Valuation or When the Shipment Has Been Improperly Described
Original Bill of Lading, When Shipment Was Prepaid, or When Claim Is Based on Valuation or Description
Weight Certificate







Form will be submitted via email to the Overcharge Claim Department
Every effort will be made to process your claim within 30 days of receipt