Cargo Claim Notice

Section 1 of 5: Claimant Particular
Company Name:*
Address:*
Contact Name:*

Please provide the name of the individual who can authorize payment
Telephone:*
Fax Number:*
Email Address:*
Section 2 of 5: Insurance details
Certificate Number &/or Invoice Number:*

If no Insurance certificate is issued for shipment, please enter the invoice number
Vessel Name/Air/Truck:*
Origin:*

Shipment origin
Destination:*

Shipment Destination
Cargo Description:*
Total Insured Value &/or Total Invoice Value:*

Invoice total found at the end of invoice. Total insured Valued is found in the middle of the certificate and is usually labelled sum insured.
ESO/MSO No.:*
Section 3 of 5: Delivery Details
Only answer against the carrier in which you are filling the claim against
Date of discharge from Vessel/Air/Truck:*
Were damages/shortages apparent at carriers discharge:*
Were damages/shortages apparent at delivery:*
Were details of damages/shortages noted on carriers receipt:*
Have carriers been held responsible for losses in writing & copy correspondence retained:*
Section 4 of 5: Claim Documents
Documents can only be attached using the latest version of Internet Explorer or Google Chrome.
Commercial Sales Invoice - Upload Commercial Sales Invoice document:
Max. file size: 100 MB.
Bill of Lading, Air Waybill or Consignment Note (whichever is applicable) - Upload Bill of Lading, Air Waybill or Consignment Note document:
Max. file size: 100 MB.
Photographs of Damaged Cargo - Upload Photographs of Damaged Cargo document:
Max. file size: 25 MB.
Photos can be uploaded here. Maximum file size 25MB
Other Documents:
Max. file size: 100 MB.
For example: Delivery Receipt, Copy of Written Notice of Claim sent to Carrier
Other Documents:
Max. file size: 100 MB.
For example: Delivery Receipt, Copy of Written Notice of Claim sent to Carrier
Other Documents:
Max. file size: 100 MB.
For example: Delivery Receipt, Copy of Written Notice of Claim sent to Carrier
Section 5 of 5: Damage Details
Brief Description of Damages/Shortages:*
Estimated cost of Repair/Replacement:*
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