FedEx International Rebill Loa form is a required document to process a payment for services rendered outside of the United States. The form can be used to request advance payments, post-payment rebills, or alteration of invoice terms. The form must be completed and submitted by the customer along with all other required documentation. Please note that use of this form does not guarantee approval of your request. Terms and conditions will apply. Approval for requests is at the sole discretion of FedEx Accounts Payable. If you have any questions, please contact your FedEx account representative. Thank you!
| Question | Answer |
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| Form Name | Fedex International Rebill Loa Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | fedex loa, fedex express clearance charges dispute, fedex freight loa form, letter of authorization fedex |
FedEx Express
Clearance Charges Dispute/Rebill Notification Form
(U.S. Payer)
Please complete one form per air waybill number.
In order for FedEx to process your request, please provide information for all fields.
Shipment Information |
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Contact Information |
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Air Waybill/Tracking # |
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Contact Name |
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Ship Date |
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Company Name |
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Entry # (if known) |
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Address |
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Billing Information |
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City/State/ZIP/Country |
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Company Name |
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Contact Phone # |
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FedEx Account # |
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Contact Fax # or |
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FedEx Invoice # |
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Email (required) |
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If you are the disputing party, please indicate your relationship to the shipment. |
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You are the (check only one please): |
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Shipper |
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Consignee (recipient) |
Third Party |
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Indicate reason for dispute (required – check all that apply): Aircraft Parts
Antiques/Artwork
Classification (Harmonized Tariff Code) Currency Conversion Error Declared Value Error
GSP Eligible
MPF (Merchandise Processing Fee)
NAFTA
Personal / Gift / Religious Item(s)
Samples
VAT (Value Added Tax)
Warranty / Repair / Return Shipment
Other
Explanation of dispute: Use this space to explain why you disagree with these charges. For example: If you feel the classification is incorrect, please provide both the classification number (harmonized tariff code) being disputed and the classification number (harmonized tariff code) you feel should have been used. Explain your reasons in detail. You may submit this form via fax, email, phone, or mail: see below.
What is wrong with the entry?
What information should the entry reflect?
Request for rebill of duties/taxes charges may be submitted by email or fax; see below for email address and fax number. Please provide complete company name, address, and FedEx account number.
Signature |
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Submit form via: |
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Fax: |
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International Customer Invoicing |
FedEx Express |
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1.800.901.2285 |
Attn: Duty/Tax Invoice Adjustment Dept. |
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Email: |
3965 Airways Blvd, Module G, 4th Floor |
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dutytaxdisputes@fedex.com |
Memphis, TN 38116 |
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Phone: |
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1.800.622.1147 menu 5, then 1 |
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Submit rebill request via email to: rebilldt@fedex.com, or fax to 1.877.716.8758
Rev: 6/13