Cargo Damage

Cargo Damage

This form is utilized to report cargo damage, cargo overage or cargo shortage. All pictures must be uploaded in GrayBox app using the Red Button marked Accidents/Cargo which corresponds with the Payne trip number the report belongs to.

PART 1: Cargo/Overage/Shortage Report

Name of Person completing this report*
First Last
Date damage/overage/shortage noticed*
MM slash DD slash YYYY
Time damage/overage/shortage noticed*

: Hours

Minutes

AM/PM
Type of report*
- Damage
- Overage
- Shortage
Ensure you have noted the Damage/Overage/Shortage on the Bill of Lading
PART 2 - YOUR INFORMATION
Name of Payne Driver responsible for cargo*
First Last
Payne Power Unit Number*
Payne Trailer Unit Number*
Cellular number of Payne driver*
Email Address of Payne driver*

Email is required to enable that you get a copy of this form upon completion for your record.
Payne Trip Number which corresponds to Cargo Report*
PART 3 - CUSTOMER DETAILS
Customer Name on Bill of Lading*
Name of the Customer's Employee who signed the Bill of Lading
Bill of Lading Number*
Was the complete load rejected?*
- Yes
- No
Street Address where report is being made*
City*
Province/State*
Country*
- Canada
- USA
PART 4 - DESCRIPTION OF DAMAGE/O&S
Your statement*

PART 1: Cargo/Overage/Shortage Report

PART 2 - YOUR INFORMATION

PART 3 - CUSTOMER DETAILS

PART 4 - DESCRIPTION OF DAMAGE/O&S

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