Export Cargo Breakage Claim Form
Claimant Information
Name
Company
Address
Contact Number
Email
Cargo & Shipment Details
Invoice No.
Bill of Lading No.
Container No.
Voyage No.
Date of Arrival
Details of Cargo Breakage
Description of Cargo
Description of Damage/Breakage
Date/Time of Discovery
Location
Supporting Documents
Photos/Images
Other Documents
Additional Remarks
Remarks
Claimant's Signature
Date