Maersk Deposit Slip Form

Pending payment and disputes should be reported to refund team below. Refunds will only be paid to the broker s registered with Maersk line or MCC Transport. Addt l Requirement for Broker if REFUND IS PAYABLE TO BROKER and not yet registered with MCC/Maersk 1 Copy of BIR form 2303 Certificate of Registration BILL OF LADING NO Mandatory CONSIGNEE NAME EMAIL CONSIGNEE TELEPHONE cell phone BROKER S NAME EMAIL BROKER TELEPHONE cell phone ACCOUNT NUMBER Mandatory ACCOUNT NAME Mandatory AMOUNT TO BE REFUNDED Mandatory TERMS AND CONDITIONS Agents are the chosen representatives of the consignee and should ensure they obtain the consignees approval for all refund transactions with Maersk Line. REFUND APPLICATION FORM Payer s Letterhead Company name reflected in the OR REFUND REQUESTED Choose one OVERPAYMENT For Overpayment Refund Requirements 1 Copy of Official Receipt as proof of payment 2 Copy of Bank Statement containing Bank account number and address CONTAINER DEPOSIT For Container Deposit Refund Requirements 2 EIR/Equipment Interchanged Report of return empty container. If there is no endorsement refund will be paid to consignee on BL We will not accept liability for delay of payment due to wrong or incomplete information entered above. No refund request should be processed if the requestor has overdue in the account. Payment will be made to corporate accounts only excluding where a personal name is on the BL* Customer experiencing payment delay should promptly notify the customer service team or refund processor through email Any suspicion of fraud will be investigated and the agency and all its representatives will be blacklisted unless proven otherwise. Declaration I solemnly state that the information I have given is true and correct. And hereby agree to the above terms and conditions Requestor s / Consignee s Signature above Printed Name Designation Broker s Signature above Printed Name REFUND PROCESSOR CONTACT DETAILS EMAIL MNLGSCOTCWOREF maersk. com All refund concerns status inquiries and follow-ups should be communicated thru email Advise will be duly given when the cheque is ready for release. If there is no endorsement refund will be paid to consignee on BL We will not accept liability for delay of payment due to wrong or incomplete information entered above. No refund request should be processed if the requestor has overdue in the account. Payment will be made to corporate accounts only excluding where a personal name is on the BL* Customer experiencing payment delay should promptly notify the customer service team or refund processor through email Any suspicion of fraud will be investigated and the agency and all its representatives will be blacklisted unless proven otherwise. Declaration I solemnly state that the information I have given is true and correct. And hereby agree to the above terms and conditions Requestor s / Consignee s Signature above Printed Name Designation Broker s Signature above Printed Name REFUND PROCESSOR CONTACT DETAILS EMAIL MNLGSCOTCWOREF maersk. com All refund concerns status inquiries and follow-ups should be communicated thru email Advise will be duly given when the cheque is ready for release.