Lost Cargo Claim Form
Shipper Information
Company/Name
Address
Contact Number
Email
Consignee Information
Company/Name
Address
Contact Number
Email
Shipment Details
B/L or AWB Number
Shipment Date
Origin
Destination
Cargo Description
No. of Packages
Total Weight
Claim Details
Date of Loss/Incident
Location of Loss/Incident
Claim Amount
Details of Loss/Incident
List of Attached Supporting Documents
Declaration
I/We declare that the particulars stated above are true and correct to the best of my/our knowledge.
Claimant Name
Signature
Date