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JWS Staff Online Forms
JWS Online Forms
JWS Staff Online Forms
Submit a ticket
Loading Error Report Form
Submit a Support Request
Required fields are marked with
Name:
Email:
Priority:
Low
Medium
High
Subject:
Driver's/Employee's Name:
Date of Incident:
Approximate Time of Incident (24hr format):
Shift (AM or PM):
AM
PM
Terminal/Site/Location:
Contract:
Shell
Phillps66
Tankshare
If Tankshare/Petroloads name of customer:
Full Vehicle Registration Number:
Full Trailer Number:
Trip/Shipment No:
When did the Driver notice the error?
Where was the driver when he noticed the issue/incident?
Has the Driver's statement been attached?
Yes
No
Site Name/Incident Location (Motorway, A Road etc):
Please give a full detailed account of the incident(s):
Weather:
- - Click to Select - -
Cloudy
Rain
Snow/Ice
Fog/Mist
Sun
Windy
If the loading error involve Pots then please give the Pot number affected?
Pot 1
Pot 2
Pot 3
Pot 4
Pot 5
Pot 6
Pot 7
Pot 8
Please explain each Pot error (i,e, 7600l Unleaded instead of 7600l of VPGS):
Reason for Error:
If loaded on the incorrect account please give details:
Could the site take the product?
- - Click to Select - -
YES
NO
If customer could not take the product then please detail what happened to it:
Attachments:
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