88 Transportation

Claim Form Packet

Please complete the following form to file a claim

  • Fill out our claim form
  • Provide POD (Proof of Delivery) as evidence of the receipt, as well as the kind, quanity and apparent condition of the goods
  • Provide original invoice or P.O. (Purchase Order) of the shipment
  • Circle item number and cost of the loss or damaged merchandise
  • Please attach all necessary documents with the email, or
  • Fax back the documents to (562) 250–3160 in order to process the claim

Please select one:

Standard Form for Presentation of Loss and/or Damaged Claim


Shipper's Info

Consignee's info

If shipment re-consigned en route, state particulars:

If shipment was moved from warehousing point, include name of initial shipper and point of origin, and if known, name of prior carrier and prior billing references:

DETAIL STATEMENT SHOWING THE AMOUNT OF CLAIM IS DETERMINED

(Number and description fo articles, nature, and extent of loss or damage, invoice of articles, amount of claim, etc.)

ALL DISCOUNTS AND ALLOWANCES MUST BE SHOWN

The following documents are sumbitted in support of the claim:
(Please attach all related documents in email.)

NOTE: The absence of any document called for in connection with this claim must be explained. If claimant is unable to produce original bill of lading or paid freight bill, a bond of indemnity must be given to protect the carrier against any duplicate claim(s) supported by original documents.

By submitting this form, you are confriming that the foregoing statements are hereby certified as correct.