Express America Trucking, Inc.

Complete the form below to receive documents pertaining to your shipments. Documents can be scanned and emailed as a Microsoft Word Document.
*FIELDS REQUIRED

Requested by:

*Company Name:

*Company Contact:

*Phone:

Fax:

Email:

*Date of request:

*Method of response:

Fax

Phone

(Truckload Info)

Container/Trailer Number:

Invoice Number:

Customer Reference Number:

Shipper/Consignee:

Load/Unload Date:

Shipper:

*Shipper City & State:

Consignee:

*Consignee City & State:

Information requested (Check all that apply):

POD Interchanges	BOL	Lumper Receipt
Copy of Invoice	In-Gate	Out-Gate
Other-Describe