Reminder: Operators Earnings Adjustment Forms must be submitted within 120 days
from the date of the paycheck which should have included payment for claim.
$10 Supplement Pay
Note - Only applies to supplement operators going from Table 2 to Table 4 (Article W-4 on page 59)
CLAIM WILL NOT BE PROCESSED WITHOUT ALL INFORMATION NEEDED
*Documentation must be uploaded to form*
CLAIM WILL NOT BE PROCESSED WITHOUT DOCUMENTATION
Deadhead to Schedule Driving
EXB Minimum Day
*Logs/Recap must be uploaded to form.
CLAIM WILL NOT BE PROCESSED WITHOUT LOGS
*Documentation must be uploaded to form.
Layover (Prot. Rates/Meals)
REG Minimum Day
Sign On/Sign Off
Detail for claims with additional service:
Note regarding additional service - Driver to contact OSC for authorization on additional service, including time or mileage. Client signature required on trip sheet - Charters can be reached at 1-800-454-2487 during business hours or 214-728-4616 after hours. Thank you for your cooperation & HAVE A SAFE TRIP.
Attach copies of Logs & Client Signed Trip Sheet below
Please PRINT or SUBMIT your form below.
Thank you and have a safe day!