FREE SAMPLE PRINTABLE BLANK LEGAL FORMS

free legal forms, legal forms, free printable legal forms, free legal forms online, legal will forms, guardianship legal forms,executive agreement, rental agreement, free rental agreements, free printable lease agreement, lease agreement, irs forms, tax forms,free medical excuse forms, irs tax forms, free printable tax forms, federal tax forms, job application forms, blank resume form free, free sample printable blank legal forms

Claimant for Reduced Price

Date: ____________________________________


Claimant's Name: _____________________________
Address of Claimant: __________________________
___________________________

Name of Carrier: _____________________________
Address of Carrier: __________________________
__________________________

This claim for $ ______ (_____________________________ & ____/100 dollars) is made against the carrier named above by _________________________, Claimant, for overcharge in connection with the following shipment(s):

Description of Shipment: ____________________________
Name and address of Shipper: _________________________
Shipped from ____________________________ to ____________________
Final Destination: ______________________ Routed Via ____________
Bill of lading issued by _______________________ (Company) on the ______________ day of _________________, 19___.

Paid freight bill No. _________________ Truck No. _____________
And initials ___________________________,
Name and Address of recipient __________________.
Nature of Overcharge: __________________________


DETAILED STATEMENT SHOWING HOW AMOUNT CLAIMED IS DETERMINED

Number of packages __________________, articles _______________, weight ___________, rate ___________, charges _____________, amount of overcharge ________________ Dollars.

Authority for rate or classification claimed: __________________________________________

In addition to the information given above, the following documents are submitted in support of this claim:
(___________) 1. Original Bill of lading, if not previously surrendered by carrier.

(___________) 2. Original Paid freight ("expense") bill.

(___________) 3. Original Invoice or Certified Copy.

(___________) 4. Weight Certificate or certified statement when claim is based on misrouting or valuation.

(___________) 5. Other Particulars obtainable in proof of loss or damage claimed: __________.

Remarks: ________________________________________________________
________________________________________________________________
________________________________________________________________.

The above statement of facts is hereby certified as correct.

Dated: ________________________________.



______________________________________
CLAIMANT

Claimant for Reduced Price | Free Sample Printable Blank Legal Forms

Free Sample Printable Blank Legal Forms Disclaimer

The information contained in this web site is provided as a service to the Internet community, and does not constitute legal advice. We try to provide quality information, but we make no claims, promises or guarantees about the accuracy, completeness, or adequacy of the information contained in or linked to this web site and its associated sites and we make no claim that any of the free forms contained in this web site are appropriate for your particular needs.

As legal advice must be tailored to the specific circumstances of each case, and laws are constantly changing, nothing provided herein should be used as a substitute for the advice of competent counsel.

By using content and information from this website you agree to the following:

1) You will not rely on any information contained in this web site without personally consulting an attorney.

2) You agree that the free legal forms contained in this web site may not be appropriate for your particular needs and are offered for informational purposes only.

3) No attorney/client relationship is created between you and menagement staff of www.printable-legal-forms.com website by your viewing or use of any information or form contained in this web site.