Marine Cargo Damage Declaration
Date of Declaration
Shipper Name
Consignee Name
Vessel Name
Voyage Number
Bill of Lading No.
Date of Arrival
Port of Discharge
Container/Seal Number(s)
Description of Cargo
Description of Damage
When and How Damage Discovered
Extent of Damage/Loss
Remarks/Comments
Declarant Name
Position/Title
Signature
Date Signed