CARRIER REFUND REQUEST FORM Please enable JavaScript in your browser to complete this form.Carrier DetailsRegistered Business Name:OSEAS Account Email: *Contact Phone Number:ABN / Business Registration Number:Load DetailsLoad ID / Booking Reference:Shipper Name:Pickup Date:Delivery Date (if applicable):Payment DetailsExpected Payout Amount (AUD):Platform Fee Deducted (AUD):Net Amount Received (if paid):Payment Date (if applicable):Payment Method:StripeReason for Refund / Adjustment RequestLoad cancelled by shipperIncorrect platform fee deductionPartial service completedPayment error or shortfallOther (please specify)Explanation (required): *Supporting Evidence (if applicable)Proof of completion or partial completionPlatform messages or correspondenceProof of expenses incurredOther relevant documentsAcknowledgementsI acknowledge that payouts and adjustments are subject to the OSEAS Terms & Conditions, including cancellation and platform fee provisions.I understand that platform fees may still apply where a load has been accepted or partially performed.I confirm that the information provided is accurate and complete.AcknowledgementsI acknowledge that payouts and adjustments are subject to the OSEAS Terms & Conditions, including cancellation and platform fee provisions.I understand that platform fees may still apply where a load has been accepted or partially performed.I confirm that the information provided is accurate and complete.Declaration Amount Supporting / Name:Date:Signature Clear Signature Internal Use (OSEAS – both forms)Request Received:Reviewed By:Date Processed:Amount Refunded / Adjusted (AUD):OutcomeApprovedPartially ApprovedDeclinedNotes:Submit
