New International Claim
To file your claim, please fill out the simple form, below. Before continuing, please make sure that you have completely unpacked and found all items that you may wish to claim to ensure that your claim is handled in the fastest, most efficient way possible.
Complete all fields and click the save button to proceed. All fields with red headings are required. If you have questions regarding the definition of any of the underlined fields, please click on the underlined label to the left, for instructions on how to complete that field.
***Please Note***
It is best to be specific when describing the nature and the extent of the damages.
As we reserve the right to a visual inspection of damages, we ask that you do not proceed with repairs or replacements, and that you do not discard or relocate any damaged items.
All claims must be filed in writing within 60 days from the date of delivery.
Personal Information
Order Number:
First Name:
Last Name:
Home Phone:
Office Phone:
Email:
Employee ID:
Destination Info
Address:
City:
State:
AB
AK
AL
AR
AS
AZ
BC
CA
CM
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MS
MT
n/a
NB
NC
ND
NE
NF
NH
NJ
NM
NS
NT
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TT
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Zip Code:
Country:
Origin Information
Address:
City:
State:
AB
AK
AL
AR
AS
AZ
BC
CA
CM
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MS
MT
n/a
NB
NC
ND
NE
NF
NH
NJ
NM
NS
NT
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TT
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Zip Code:
Country:
Shipment Information
Delivery Date:
Load Date:
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