Claims Form

You may use the online form below to submit a freight claim, along with supporting documentation, directly to our Claim’s department. Once the form is submitted, you will receive an email acknowledgement. As your claim status progresses, you will also receive further email updates from us.

(To download ‘Notes on Claim Procedures’, please click here.)

If you are submitting multiple claims, please refresh your browser before starting a new claim.

Date (not editable)

Your Name*

Email*

Phone*

Fax*

Claimant Information

* Required fields

Company Name*

Address 1*

Address 2

City*

ST/Prov*

Zip*

Remit To

 Check if same as Claimant’s address

Company Name*

Address 1*

Address 2

City*

ST/Prov*

Zip*

Claim Information

Claim Amount* (format 00000.00 - no commas)
$

Your Claim Number (for your reference - if applicable)

Type of Claim*
 Shortage Damage Other

If other please provide details below

Shipper*

Consignee*

Origin*

Destination*

Pro No.*

Date of Delivery*

Briefly describe what the claim represents and show how the amount of the claim was calculated

If the claim involves damaged goods, please check one or more of the following:

 1 Damaged goods can be repaired for approximately

Repair amount $

 1 Damaged goods can be used 'as is' for an allowance of

Allowance amount $

 1 Damaged goods are available for carrier pickup

 1 Damaged goods are unavailable (please explain below)

To avoid delay in processing your claim, please attach appropriate documentation, as follows:

 1 Vendor’s invoice showing price of lost or damaged goods (be sure to include final page)

 1 Consignee’s copy of freight bill bearing loss or damage notations

 1 Itemized repair bill (if applicable)

 1 Inspection report (if available)

Attach files here: (File size limit 2MB per file)

If your attachment file size is in excess of 2MB each, please email the attachments to our Claims Department; be sure to include YOUR claim number, the Pro # and the claimant name.

(Acceptable file types are: jpg, jpeg, png, gif, pdf, doc, docx, ppt, pptx, odt, avi, ogg, m4a, mov, mp3, mp4, mpg, wav, and wmv)