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Submit a Claim

 

Standard form for loss and damage claims:


Date
Name of claimant:
This claim amounts for: Currency

Address (of the claimant):City: Province Postal code:
Contact name:Telephone number Email  

Claim is filled for:



Description of shipment:
Name of shipper:Telephone number:
Name of consignee:Telephone number

Detailed Statement showing how claim amount is determined (number and description of articles, nature and extent of loss or damage, invoice price of articles, amount of claim, etc):
$
$
$
$
Total Amount Claimed:$
In addition to the information given above, the following documents are submitted in support of this claim:






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