In Take Questionnaire | SARS: Class Action Lawsuit

CARGO/FREIGHT – INTAKE QUESTIONNAIRE

Intake@sarsclassactionlawsuit.co.za

This questionnaire provides the class administrator with pertinent information specific to your claim as they’ll require/request certified documents for verification.

Are You A South African Citizen?

Yes

No

Are You A Foreign National (Non SA Citizen)?

Yes

No

If Yes, What Nationality Is Your Passport?

Passport Nationality

Did You Ship Personal Goods Into South Africa In the Last 3 (Three) Years?

Yes

No

Did You Ship Commercial Goods Into South Africa In the Last 3 (Three) Years?

Yes

No

Full Name:

First and Sir Names

Shipper/Consignee:

Person, Entity on Shipping Documents

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Primary Phone Number:

Primary Email ID:

Alternative Contact Methods:

Which Mode of Transportation Did Your Goods Arrive South Africa?

What Port of Loading/Origin City Did Your Goods Ship From?

Loading Port/City

What Port/City Did Your Goods Arrive Into South Africa?

What Shipping Line/Carrier Transported Your Good To South Africa?

Shipping Line or Carrier

What Is/Are Your Bill of Laden/Seaway/Tracking Number(s)?

Shipping Document Number(s)

Who Was Your Clearing Agent/Freight Forwarder?

Company Name, Address, Contact Person, Phone, Email, Website

How Did You Learn of This Clearing Agent/Freight Forwarder?

Response

Were You Asked To Complete SARS Forms, Have Certified, Including Copies?

Yes

No

If Yes, Who Asked You To Complete Those Forms?

Person/Entity

Did Your Clearing Agent/Freight Forwarder Ask You To Visit a SARS/Customs Office?

Yes

No

If Yes, Which SARS/Customs Office Did You Visit?

SARS Branch Location

What Was The Outcome of the Customs Office Visit?

Did Your Clearing Agent/Freight Forwarder Ask You For A Deposit?

Yes

No

If Yes, How Much Was The Deposit?

Amount and Currency

If Yes, Was Your Deposit Refunded?

Yes

No

If No, Why Wasn't Your Deposit Refunded?

Specify Reason

Were You Asked To Change The Value of Your Cargo/Packing List Items?

Yes

No

If Yes, How Much Was Your Initial Total Value?

Initial Amount and Currency

If Yes, How Much Was The Total Value Revised?

Revised Amount and Currency

Who Asked You To Make These Total Value Changes To Your Packing List Items?

Person/Entity Who Initiated The Request

What Were The Arrival Date(s) of Your Cargo?

List by Shipping Document(s) Followed By the Arrival Date

What Date(s) Did You Receive SARS/Customs Clearance?

List by Shipping Document(s) Followed By the SARS/Customs Clearance Date

Were You Charged Storage/Overstay Fees Due To Delays?

Yes

No

If Yes, How Much Were Your Charged/Paid In Storage/Overstay?

Amount and Currency

If Yes, How Much Were Your Charged/Paid In Other Fees?

Amount and Currency

Were You Pressured By The Shipping Line or Clearing Agent/Forwarder To Make Payment?

Yes

No

Were You Offered A Discount or Leniency For The Charges/Fees Due To Delays?

Yes

No

Did You Receive Your Cargo?

Yes

No

If No, What Happened To Your Cargo?

Response

Were You Approached By Anyone Claiming To Help You Get Your Cargo?

Yes

No

Not Your Clearing Agent/Forwarder

If Yes, Did They Propose To Meet You In Person to Confidentially Discuss?

Yes

No

Please Let Us Know Anything Further You Would Like To Mention Before Submitting Your Intake Questionnaire?

Additional Information Not Mentioned/Asked Above

CARGO/FREIGHT – INTAKE QUESTIONNAIRE

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