Claim Form

Date Filed *
Airbill Number *
Date Shipped *
Date Arrived *

Shipper Address:

Shipper *
Address *
Address 2
City *
State *
Zip Code *

Consignee Address:

Consignee *
Address *
Address 2
City *
State *
Zip Code *
Dollar Amount of Claim *
Total Weight of Claim *
No. of Pieces in Question *
Lost or Damaged? *
Shipment Contained *
If Damage Was Sustained, State Nature & Extent

State how you arrived at amount claimed:

Invoice Amount ($) *
Repair/Replace Amount ($) *
Others

When filing a claim, please provide ALL of the following documentation:

  • Airbill for shipment
  • Copy of invoice and packing list for goods lost or damaged
  • Copy of invoice for repairs or replacement (if applicable)


The documentation below may be requested to further support your claim and should be provided if available:

  • Copy of Inspection Report for damage
  • Additional particulars obtained in proof of loss
  • Additional documentation showing proof of damage (i.e., photographs)
Additional Comments
Claimant Signature (type name) *
Date of Signing *
Claimant Phone *
Claimant Email *
Claimant Address *

Questions? Please give us a call at 808.834.7606 or Contact Us