REVISION REQUEST FORM Submitted By * PERSON FOR US TO CONTACT FOR MORE INFORMATION Email Address * EMAIL ADDRESS TO SEND YOUR REVISED COVER SHEET TO Trip Number: / Conveyance Ref No: * NUMBER FROM THE COVER SHEET OF THE MANIFEST TO BE CHANGED Requested Change(s) Check All That Apply Port of Arrival Driver Remove a Passenger Add a Passenger Truck Trailer Remove a Shipment Add a Shipment Shipment Quantity Shipment Weight Shipment Description Shipper Consignee Other If you are human, leave this field blank.
