Railhead Demurrage Claim Statement
Consignor / Claimant Information
Company Name
Address
Contact Person
Phone / Email
Railway & Consignment Details
Railway Station
Consignment No.
Date of Arrival
Date of Release
Wagon Nos.
Commodity
Demurrage Period
Wagon No.
Arrival Date & Time
Release Date & Time
Free Time (hrs)
Demurrage Time (hrs)
Chargeable Rate
Amount
Summary
Total Demurrage Amount
Remarks
Declaration
I/We declare that the above information is true and correct to the best of my/our knowledge and belief.
Authorized Signatory
Date