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Get File A Loss And Damage Claim Form - Holland
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How to fill out the File A Loss And Damage Claim Form - Holland online
Filing a claim for loss and damage can be a straightforward process when you have the right guidance. This guide will walk you through the steps needed to successfully complete the File A Loss And Damage Claim Form - Holland online, ensuring that you provide all necessary information to support your claim.
Follow the steps to complete the claim form online.
- Press the ‘Get Form’ button to access the online version of the claim form and open it in your editor.
- Enter today's date in the designated field to indicate when you are filing the claim.
- Fill in the Freight Bill/PRO Number, as well as the Claimant’s Claim Number, to help identify your claim clearly.
- Provide detailed information for the shipper, including the company name, street address, city, state, and zip code.
- Complete the consignee section with the appropriate company name, street address, city, state, and zip code.
- If distinctive, fill out the 'Remit To' section with their address details.
- Select the reason for the claim by checking one or more options: pieces, shortage, visible damage, concealed damage, or other.
- List the itemized description of the articles, including model numbers, size, color, and any relevant markings.
- Indicate the condition of the items by circling 'New' or 'Used' for each article listed.
- Enter the total amount claimed in the specified field, ensuring it reflects the value of the goods accurately.
- Attach necessary documentation to support your claim, including invoices, delivery receipts, and any additional evidence of damage.
- Fill in the preparer's name, telephone number, signature, facsimile number, date, and email address in the respective fields.
- Once all sections are complete, save your changes. You can choose to download, print, or share the completed form as needed.
Begin processing your loss and damage claim by completing the form online today.
Holland Claims Department Contacts Claims Form: View/Download. Email: claims@hollandregional.com. Phone: (616) 395-5000. Fax: (913) 982-0280.
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