OS&D Claim Form

Overages, Shortages & Damages

Is this an Overage, Shortage or Damage dispute?

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Supplier Information


Claim Information

Please provide the PO number for this claim.

(Use this format: 2406123456)

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Freight Charge Term*

Please select the freight charge term to assign the disputes to the correct team.

Shortage Dispute*

Select "YES" if invoice was shortpaid.

Select "NO" if payment was not issued.

Select "YES" if there is a pricing discrepancy.

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Please provide the payment remittance date. Disputes must be received within 90 days of the payment remittance date.

Any disputes exceeding 90 days will be denied.

All disputes must be received with all pertinent backup.

Claims with insufficient documentation will be denied.

(Invoice, Packing List, Uber Freight/RXO BOL (Collect) or POD (Pre-Paid) etc.)

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Additional Information

Please be detailed to help expedite claim results.