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Submit A Claim
To submit a claim for a lost or damaged shipment, complete the form below. Our claim specialist will evaluate your request and contact you.
QUANTUM/LOAD#
DATE OF CLAIM
REFERENCE#
CLAIM TYPE
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CLAIM SUBMITTED BY:
Company
TITLE/POSITION
First Name
Last Name
Email
Street Number
Street Address Line 2
City
State/Province
Postal / Zip code
Country
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Code
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Phone
CLAIM PAYABLE TO:
SAME AS CLAIMANT
YES
NO
COMPANY
TITLE/POSITION
FIRST NAME
LAST NAME
Email
Street Number
Street Address Line 2
City
State/Province
Postal / Zip code
Country
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Code
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Phone
BRIEF DESCRIPTION OF CLAIM
CLAIM AMOUNT & HOW IT'S CALCULATED
PICK UP DATE
SHIPPER NAME
Street Number
Street Address Line 2
City
State/Province
Postal / Zip code
Country
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NUMBER OF PIECES
WEIGHT
DELIVERY DATE
RECEIVER NAME
Street Number
Street Address Line 2
City
State/Province
Postal / Zip code
Country
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UPLOAD DOCUMENTS
*IMPORTANT NOTE:
You will need to upload the following documents in each individual upload section as marked. Each section will only allow 1 file to be attached.
BILL OF LADEN
Upload File
Upload supported file (Max 15MB)
INSPECTION REPORT
Upload File
Upload supported file (Max 15MB)
DELIVERY OF RECEIPT
Upload File
Upload supported file (Max 15MB)
Invoice Copy of ALL Items on Shipment
(Invoice MUST be the original sales invoice and include date of purchase, invoice number, and detail of items on shipment)
Upload File
Upload supported file (Max 15MB)
PHOTO UPLOADS
Photo #1 of item(s) with clear freight damage
Upload File
Upload supported file (Max 15MB)
Photo #3 of item(s) with clear freight damage
Upload File
Upload supported file (Max 15MB)
Photo #2 of item(s) with clear freight damage
Upload File
Upload supported file (Max 15MB)
Photo #4 of item(s) with clear freight damage
Upload File
Upload supported file (Max 15MB)
OTHER DOCUMENTS RELATED TO THE LOAD AND CLAIM
Other File #1
Upload File
Upload supported file (Max 15MB)
Other File #3
Upload File
Upload supported file (Max 15MB)
Other File #2
Upload File
Upload supported file (Max 15MB)
Other File #4
Upload File
Upload supported file (Max 15MB)
After clicking the submit button, it may take several seconds to upload all files.
Please do not leave the page until you see the confirmation message that your form was submitted successfully.
SUBMIT
Your Submission Was Successful!
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