SYNTHETIC EXAMPLE — SHIPPER-REVIEWED DRAFT

One shipment. An evidence-linked claim.

PRO SYN-XPO-1007-B4 · BOL SYN-BOL-1005-24

Reviewed specific demand

$750.00

Actual loss: $1,725.00 · Tariff reference limit: $750.00

Written claim carrier-receipt deadline: 2027-07-07. Filing status: awaiting carrier submission.

Valuation audit

StepCalculationUSD
Affected-piece gross invoice$2,000.00$2,000.00
Trade discount$2,000.00 × 5%$100.00
Affected-piece net invoice$2,000.00 − $100.00 − $0.00$1,900.00
Retained salvage value$175.00$175.00
Evidence-backed actual loss$1,900.00 − $175.00$1,725.00
Selected tariff reference limit150 lb × $5.00/lb; shipment maximum $100,000.00$750.00
Recommended draft demandmin($1,725.00 actual loss, $750.00 reference limit)$750.00

Original evidence

  1. synthetic-mixed-bol-pod.pdf — OCR-derived text; compare with the original.
  2. commercial-invoice.pdf
  3. warehouse-inspection.txt
  4. piece-weights.txt
  5. rate-confirmation.txt
  6. original-worksheet.txt
  7. synthetic-piece-label.png — OCR-derived text; compare with the original.
  8. synthetic-damage-photo.jpg — visual attachment; open its original file in the originals folder.

Official rule sources

Claim cover letter

SYNTHETIC EXAMPLE — SHIPPER-REVIEWED DRAFT
Curated example with synthetic parties, shipment records, and values.

Date: 2026-10-09
To: XPO Freight Claims
From: Foundry Lane Supply (synthetic)
Consignee: Cedar Mill Fabrication (synthetic)
PRO: SYN-XPO-1007-B4
Bill of lading: SYN-BOL-1005-24
Invoice: SYN-INV-1004-28
Delivery date: 2026-10-07
Affected shipping piece: B4

SPECIFIC AMOUNT CLAIMED: $750.00 USD

Foundry Lane Supply (synthetic) asserts that XPO is liable for damage to B4 on the identified shipment and requests payment of $750.00 USD.
The delivery receipt records visible damage to B4. The accompanying invoice, inspection record, piece-weight sheet, and rate confirmation support this demand.

VALUATION
Affected-piece gross invoice: $2,000.00
Trade discount: 5%
Additional allowances: $0.00
Affected-piece net invoice: $1,900.00
Retained salvage: $175.00
Evidence-backed actual loss: $1,725.00
Selected service terms: Standard tariff, actual class 70, $5.00/lb
Affected-piece weight: 150 lb
Tariff reference limit: $750.00
Reviewed amount claimed: $750.00
Original worksheet amount preserved in the audit: $3,000.00

Retain the damaged goods and packaging for carrier inspection.
Supporting records are listed in document-manifest.json and included in evidence/.

Shipper review: Shipper reviewer · 2026-10-09
Review snapshot: fnv1a64:6a2f8f33117a638b

CARRIER FILING HANDOFF
Carrier receipt deadline: 2027-07-07 (delivery + nine calendar months).
Current filing status: awaiting submission to XPO
File through the official XPO claims process and retain the carrier confirmation.
Official instructions: https://www.xpo.com/help-center/claims-and-refunds/how-file-claims-and-refunds/

Use this packet to rehearse the workflow. Actual filing uses the shipper’s genuine documents and confirmed facts.