Follow the steps to accurately complete the claim form.

1. Click the ‘Get Form’ button to obtain the form and open it in your designated editor.
2. In the first section, fill out the claimant's information including your name, address, city, state, and zip code. Ensure the contact name and phone number are accurate for prompt communication.
3. Enter the reference number and any applicable fax and email information. This section is crucial as it helps in tracking your claim.
4. Provide your reference number and the contact person for any follow-ups regarding your claim.
5. Fill in the shipper's name and address. This identifies who is responsible for the shipment.
6. Document the Carrier's Pro Number, pickup date, and delivery date to maintain a history of the shipment.
7. Indicate what the claim is for by checking the appropriate boxes: Loss, Damage, or Other.
8. Enter the claim amount in the specified field, providing a clear statement of the total value you are claiming.
9. In the detailed statement section, describe the articles, nature, and extent of loss or damage. Include all discounts or allowances, if applicable.
10. If your claim is for repairs, provide a detailed breakdown of repairs done and attach all relevant invoices.
11. Total the quantity, description, unit value, and total value of the lost or damaged goods.
12. Document the total weight of lost or damaged goods and ensure all amounts claimed are correctly tallied.
13. Check the list of required documents needed for submission, including the bill of lading, proof of delivery, details of loss or damage, and all invoices related to the claim.
14. Sign and date the claim form to validate your submission.
15. Save your completed form, then download, print, or share it according to your needs.

Submit your claim by completing the online form now for a swift resolution to your loss or damage issue.