Freight Claims Handling Instruction Sheet

Date:
Claimant Name:
Company Name:
Contact Phone:
Email:
Carrier Name:
BOL/Tracking Number:
Delivery Date:
Claim Type:

Shipment Details

Description Item # Quantity Unit Price Amount Claimed
Total Claim Amount:

Claim Details

Description of Damage/Shortage/Loss:
Additional Instructions or Comments:

Supporting Documents Checklist

Original BOL Carrier Delivery Receipt Invoice Copy Photos of Damages Other Documents
Prepared By:
Date: