Provide complete shipment identification and real-time tracking data to establish the factual basis for the dispute. Accurate metadata is critical for terminal and customs authority verification.
Master Bill of Lading (MBL) Number
House Bill of Lading (HBL) Number
Carrier Booking Reference Number
Container Details & Seal Information
Container Number | Container Type/Size | Seal Number | Cargo Weight (kg) | Declared Cargo Value | Hazardous Cargo? | ||
|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | ||
1 | TCNU1234567 | 40'HC Dry | SEAL98765 | 18500 | $45,000.00 | ||
2 | $0.00 | ||||||
3 | |||||||
4 | |||||||
5 | |||||||
6 | |||||||
7 | |||||||
8 | |||||||
9 | |||||||
10 |
Does this shipment contain hazardous materials?
Specify UN Number, Proper Shipping Name, Class, and Packing Group for all hazardous commodities:
Vessel Name
Voyage Number
Port of Loading (POL)
Port of Discharge (POD)
Original Estimated Time of Arrival (ETA)
Actual Time of Arrival (ATA)
Time Container Discharged from Vessel
Current Terminal Location Code
Terminal Operator Name
Current Container Status at Terminal
Shipper Legal Name
Consignee Legal Name
Notify Party Name
Primary Freight Forwarder/3PL
Upload Master Bill of Lading (PDF/JPG)
Upload Container Packing List
Upload Commercial Invoice
Document the precise timeline of charges and identify the root cause of delays. This section establishes the financial impact and justification for waiver requests. Provide verifiable evidence for each claim.
Container First Available Date (for pickup)
Last Free Day for Demurrage
Last Free Day for Detention (if equipment outside terminal)
Today's Date for Accrual Calculation
Demurrage & Detention Accrual Breakdown
Charge Type | Daily Rate (USD) | Days Accrued | Total Accrued (USD) | Amount Disputed (USD) | ||
|---|---|---|---|---|---|---|
A | B | C | D | E | ||
1 | Demurrage | 350 | 12 | $4,200.00 | $4,200.00 | |
2 | Detention | 125 | 8 | $1,000.00 | $1,000.00 | |
3 | Per Diem | 85 | 5 | $425.00 | $0.00 | |
4 | $0.00 | |||||
5 | $0.00 | |||||
6 | $0.00 | |||||
7 | $0.00 | |||||
8 | $0.00 | |||||
9 | $0.00 | |||||
10 | $0.00 |
Total Disputed Amount (USD)
Select ALL applicable root causes for terminal delay (choose all that apply):
Port congestion exceeding standard free time
Customs inspection hold
Documentation discrepancy flagged by carrier/terminal
Vessel schedule delay affecting availability
Terminal system outage or operational failure
Chassis shortage preventing gate-out
Appointment slot unavailability
Force majeure event (weather, labor disruption)
Other
Provide evidence of port congestion: reference terminal announcements, vessel queue reports, or third-party port performance data:
Specify customs hold code, inspection type, and communication reference number:
Detail the documentation discrepancy and corrective actions taken:
Provide vessel delay notification and revised ATA documentation:
Describe the system outage duration and terminal acknowledgment:
Provide chassis provider shortage confirmation and attempted booking logs:
Document appointment booking attempts and terminal slot availability screenshots:
Describe the force majeure event and provide official notices:
Specify other root cause with detailed explanation:
Rate the severity and verifiability of each selected root cause (1 = Low, 5 = High)
1 - Minimal | 2 - Low | 3 - Moderate | 4 - High | 5 - Critical | |
|---|---|---|---|---|---|
Impact on free time eligibility | |||||
Availability of written evidence | |||||
Carrier/terminal acknowledgment of issue | |||||
Industry-wide recognition of event |
Upload Terminal Demurrage Invoice(s)
Upload Detention Invoice(s) from Equipment Provider
Upload Terminal Availability Notification
Describe all proactive measures taken to mitigate delay and minimize charges (e.g., multiple pickup attempts, alternate chassis providers, communication logs):
Has the carrier or terminal provided any written concession or acknowledgment of dispute validity?
Upload written acknowledgment or concession letter
Verify customs entry status and identify any regulatory barriers to release. Complete documentation inspection ensures compliance and supports expedited clearance requests.
Customs Entry Filing Reference Number
Customs Entry Filing Date/Time
Customs Agency Status Code
Is the shipment under customs examination or inspection hold?
Select examination type:
Non-Intrusive Inspection (X-ray/Gamma scan)
Tail Gate Exam
Intensive Exam (Full Container)
Document Review Only
Other
Specify other examination type:
Regulatory Documentation Checklist & Status
Document Type | Submitted? | Submission Date | Status | Upload Document | ||
|---|---|---|---|---|---|---|
A | B | C | D | E | ||
1 | Commercial Invoice | Yes | 6/15/2025 | Accepted | ||
2 | Packing List | Yes | 6/15/2025 | Accepted | ||
3 | Certificate of Origin | Yes | 6/16/2025 | Pending | ||
4 | Import License/Permit | Not Required | ||||
5 | Phytosanitary Certificate | Waived | ||||
6 | ||||||
7 | ||||||
8 | ||||||
9 | ||||||
10 |
Identify ALL regulatory agencies involved in clearance (select all that apply):
Primary Customs Authority
Agricultural/Phytosanitary Agency
Consumer Safety/Product Standards Agency
Environmental Protection Agency
Transportation/Dangerous Goods Authority
Trade Compliance/Import Licensing Bureau
Other
Specify other regulatory agency and reason for involvement:
What is the primary documentation or compliance issue preventing release?
No issues - documentation complete
Missing or incomplete document
Document discrepancy vs. physical cargo
Value declaration under review
Classification/HS Code dispute
Origin verification required
License/perit not yet obtained
Other
Specify missing document and expected receipt date:
Detail the discrepancy and corrective action plan:
Provide justification for declared value and comparable market data:
Provide technical specification supporting classification:
Provide supply chain traceability evidence:
Specify license/perit status and application timeline:
Specify other issue:
Rate the complexity of customs issue (1 = Simple, 5 = Highly Complex)
Has a customs broker been formally engaged for this dispute?
Customs Broker Company Name:
Provide customs broker's assessment of expedited clearance feasibility and estimated timeline:
Upload Customs Hold Notice or Examination Order
Upload Customs Entry Filing Confirmation
Upload Correspondence with Customs Authority
Develop and document an emergency recovery plan to expedite container removal from terminal and minimize further charges. Evaluate all available transport modes and routing options.
Current Physical Location of Container within Terminal
Is container available for immediate gate-out?
Specify what is preventing gate-out (e.g., customs hold, unpaid terminal charges, missing appointment):
Select primary emergency recovery transport mode:
Standard Drayage to Local Warehouse
Expedited Drayage with Premium Carrier
Direct Intermodal Rail to Inland Ramp
Barge to Secondary Port
Air Freight for Critical Cargo (LCL extract)
Multiple Mode Combination
Specify premium carrier name, cost premium, and guaranteed pickup window:
Specify rail provider, destination ramp, estimated rail transit days, and rail booking confirmation number:
Specify barge operator, destination port, and transshipment plan:
Specify cargo value justification for air freight, estimated air freight cost, and consignee approval:
Detail multi-mode plan sequence and handoff points:
Expedited Recovery Cost-Benefit Analysis
Cost Item | Estimated Cost | Cost if No Action (Demurrage) | Time Saved (Days) | Decision Factor | ||
|---|---|---|---|---|---|---|
A | B | C | D | E | ||
1 | Premium Drayage | $800.00 | $350.00 | 3 | Avoid weekend storage | |
2 | Intermodal Rail | $1,200.00 | $2,100.00 | 5 | Faster to inland DC | |
3 | Barge Transfer | $950.00 | $1,400.00 | 2 | Bypass congestion | |
4 | ||||||
5 | ||||||
6 | ||||||
7 | ||||||
8 | ||||||
9 | ||||||
10 |
Preferred Drayage Carrier for Emergency Recovery
Is chassis availability confirmed for immediate pickup?
Specify chassis shortage mitigation plan (e.g., street turn, pool chassis, alternative provider):
Earliest Feasible Pickup Appointment
Destination Facility Name & Address
Final Delivery Consignee Name
Does consignee require delivery appointment?
Confirmed Delivery Appointment Date/Time:
Rank the following factors in order of priority for recovery plan selection (1 = Highest Priority):
Minimize total cost (demurrage + recovery) | |
Fastest transit time to consignee | |
Lowest risk of further delays | |
Minimal cargo handling/transfers | |
Consignee preference |
Assess the risk level of this expedited recovery plan:
Low Risk - Standard procedure, high certainty
Medium Risk - Some variables, manageable contingencies
High Risk - Significant uncertainties, requires monitoring
Critical Risk - High probability of failure, executive oversight needed
Detail contingency plans if primary recovery mode fails:
Upload Drayage Carrier Quote or Rail Booking Confirmation
Upload Consignee Approval for Expedited Routing
Final authorization requires sign-off from supply chain leadership and customs liaison. This section captures financial approval, risk acknowledgment, and formal clearance for emergency action.
Originator Name (Logistics Specialist)
Originator Email
Dispute Initiation Timestamp
Executive Summary: Business Impact Justification for Emergency Authorization
Total Financial Exposure (Disputed Demurrage + Recovery Costs)
Cost Center for Chargeback
Originator Approval Limit (USD)
Does total exposure exceed originator approval limit?
Required Approver Name (Director Level):
Global Supply Chain Director Name
Director Email
Global Supply Chain Director Digital Signature
Director Approval Timestamp
Port Customs Liaison Officer Name
Liaison Officer Email
Port Customs Liaison Clearance Signature
Customs Liaison Clearance Timestamp
Is executive escalation to VP/C-level required?
Executive Sponsor Name:
Authorization Decision Deadline
Expected Container Release Date
Expected Final Delivery Date
I acknowledge this authorization is subject to audit and requires post-dispute resolution reporting within 30 days.
Upload Supporting Financial Approval Memo
Upload Risk Assessment Approval
To configure an element, select it on the form.