Accident Report

BOF Claims and Safety Incident Record

Load / Settlement

Load L004 (504)
Settlement STL-004

Driver

DRV-004

Route

NorthStar Paper - Dallas, TX -> Cleveland Receiver - St. Louis, MO

Document Date

2026-05-04

Incident Summary	Operational Status
Dispatch exception=true; seal=Mismatch; pod=verified	Seal: Mismatch POD: verified Pending reason: Awaiting Receipts

Immediate Actions Taken	Required Follow-Up
Driver and dispatch notified. Supporting evidence secured and claim workflow activated.	Claims review, safety confirmation, and settlement release gate verification.

Claims Coordinator Signature / Date

Safety Reviewer Signature / Date