All Fields marked with ( * ) are mandatory

* This claim is for (Please check one):

 P-Visual damage (Noted on POD) Concealed damage (Discovered after delivery) Shortage (Noted on the POD)

Detailed statement showing how claim amount is determinate:

(E.g. Number and description of articles, nature and extend of loss and damage, invoice price of articles, etc)

Total claim amount:

All claim freight, including parts and packaging, must be retained for carrier inspection or disposition or your claim may be declined:

Salvage freight is available at:

In order to process this claim we need the following information to be sent to with the tracking # on the subject line.

Copy of the BOL signed by the shipper and the driver.
Copy of the proof of delivery signed by the consignee.
Detailed repair invoice if claim is for repairs.
Original invoice.

Additional comments: