Get Palletforce Claim Form

PalletFORCE plc - Customer Claim Notification Form TO BE COMPLETED BY CLAIMANT RETURNED TO Claimant name and address Contact name Telephone/Fax no. Vat Registered Email address Yes/No About the Incident Is this the first written notification of this incident to us YES/NO If you have advised previously please confirm when so we can tie up paperwork and avoid asking you for something twice Consignment Number if known Your Ref if different Date of Despatch Date of Incident Nature of claim Damage Shortage Non-delivery Other Full description of goods How were the goods packed and secured to the pallet happened Collection Address Delivery Address Where can damaged goods be inspected Total weight of Consignment and evidence of this if possible Total cost price value of consignment Amount claimed Kgs Weight of missing/damaged goods Cost price value of missing/damaged goods Is there any salvage value Please comment We will expect the delivery note to have been claused confirming goods were damaged or short at the time of delivery You must hold the goods for inspection/return until otherwise instructed* Essential Documents Tick Box Your Suppliers COST PRICE invoice or evidence of your profit margin Your SALES invoice showing price paid by your customer Your Written notification of your intention to claim* This must be within 14 days 7 days if goods were signed for undamaged and complete If NOT within 14 days of incident a written explanation for delay is required For DAMAGED goods - Photographic evidence Signature Print name NB v* 9/2008 Notes The principle is that you can only claim for the cost of the goods to you so that you do not make a profit twice from the same incident. If you re-supply your customer you will make a profit from that sale. You can reclaim from us an amount up to the net cost of the goods to you subject to RHA limitations These are RHA time limits we trade with you under RHA Conditions. If you do not provide the appropriate information and documents within these timescales we or our insurers may not be liable to meet any claim* To allow insurers to assess extent of damage and consider salvage value if any. Date Written notification of your claim must be made within RHA Time Limits as stated above. This form is to give you guidance as to what information is required Any delays in providing information as shown WILL result in delays in dealing with your claim and can result in the claim not being admissible. Vat Registered Email address Yes/No About the Incident Is this the first written notification of this incident to us YES/NO If you have advised previously please confirm when so we can tie up paperwork and avoid asking you for something twice Consignment Number if known Your Ref if different Date of Despatch Date of Incident Nature of claim Damage Shortage Non-delivery Other Full description of goods How were the goods packed and secured to the pallet happened Collection Address Delivery Address Where can damaged goods be inspected Total weight of Consignment and evidence of this if possible Total cost price value of consignment Amount claimed Kgs Weight of missing/damaged goods Cost price value of missing/damaged goods Is there any salvage value Please comment We will expect the delivery note to have been claused confirming goods were damaged or short at the time of delivery You must hold the goods for inspection/return until otherwise instructed* Essential Documents Tick Box Your Suppliers COST PRICE invoice or evidence of your profit margin Your SALES invoice showing price paid by your customer Your Written notification of your intention to claim* This must be within 14 days 7 days if goods were signed for undamaged and complete If NOT within 14 days of incident a written explanation for delay is required For DAMAGED goods - Photographic evidence Signature Print name NB v* 9/2008 Notes The principle is that you can only claim for the cost of the goods to you so that you do not make a profit twice from the same incident. If you re-supply your customer you will make a profit from that sale. You can reclaim from us an amount up to the net cost of the goods to you subject to RHA limitations These are RHA time limits we trade with you under RHA Conditions.