Form DD From 361 DD From 361 Transportation Discrepancy Report (TDR)

TRANSPORTATION DISCREPANCY
REPORT (TDR)

1. DATE

2. REPORT NUMBER

OMB No. 0702-0124
OMB approval expires
Feb 28, 2009

The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0702-0124). Respondents should be aware that notwithstanding any other provision of law, no
person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO:
SDDC, ATTN: MTDC-OPCL, 661 SHEPPARD PLACE, FORT EUSTIS, VA 23604.

PART I
REQUEST FOR INFORMATION (RFI)

MISCELLANEOUS PROBLEMS

3. TO

4. REPORTING ACTIVITY

5. CONSIGNOR (Origin)

6. CONSIGNEE (Destination)

7. SHIPPER

8. CARRIER'S NAME (SCAC)

9. CARRIER'S PRO/FREIGHT BILL NO.

10. BILL OF LADING NO./TYPE

11. MODE
CODE

12. DATE CARRIER 13. DATE CONSIGNEE
14. DATE DISCREPANCY 15. DATE CARRIER
RECEIVED SHIPMENT
SIGNED FOR
DISCOVERED
NOTIFIED
SHIPMENT

ASTRAY FREIGHT

16. CARRIER REPRESENTATIVE CONTACTED
TELEPHONE NO.

17. SEAL NUMBERS AND CONDITION
INTACT

BROKEN/MISSING (Include details)

TRANSPORTATION
CONTROL NO.
18

COMMODITY DESCRIPTION
AND/OR
NATIONAL STOCK NO. (NSN)
19

TYPE
OF
PACK
20

QUANTITY
DISCREPANT
(Pieces)
21

TYPE
AND
CAUSE
CODE
22

UNIT
OF
ISSUE
23

ISSUE DATA
UNITS
DISCREPANT
BILLED/
UNITS
WEIGHT
SHIPPED
24
25
26

VALUE
OR COST
OF
REPAIRS
27

28. REMARKS (See preparation instructions of covering regulation for suggested information)

29a. NAME OF PREPARER (Type or print)
29c. TELEPHONE NO.

29b. EMAIL ADDRESS

29d. FACSIMILE NUMBER

30. REPLY

31a. NAME OF RESPONDENT (Type or print)
31c. EMAIL ADDRESS

DD FORM 361, JUN 2006

31b. TELEPHONE NO.
31d. FACSIMILE NUMBER

REPLACES STANDARD FORM 361 (3-84) WHICH IS OBSOLETE.

31e. DATE

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Adobe Professional 7.0

PART II - (FOR CLAIMS PURPOSES)
32. TO:

33. EXCEPTION NOTED ON CARRIER'S DELIVERY RECEIPT? (If "NO," explain in Remarks)
YES

NO

34. INSPECTION DATA
CARRIER INSPECTED
(Report attached)
ORAL WAIVER (Provide name,
title, and date in Remarks)

INSPECTION WAIVED
(Waiver attached)

35. DISPOSITION DATA
REJECTED
(Receipt attached)

GOVERNMENT INSPECTED
(Report attached)

REPAIRED AT GOVERNMENT
EXPENSE (Bill attached)

OTHER (Explain in Remarks)

36. REMARKS (See preparation instructions of covering regulation for suggested information)

37. ATTACHMENTS
CY BOL

DD FORM 1348-1

CY CARRIER'S TENDER

CY DD FORM 250

CY CARRIER'S DELIVERY RECEIPT

ACTUAL REPAIR COST COMMODITY

PHOTOGRAPH

OTHER

CARRIER'S INSPECTION REPORT

OTHER

38. ACCOUNTING CLASSIFICATION

DD FORM 361 (BACK), JUN 2006

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