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Get YRC Freight ISC-270 2012

p/u date (If unknown, attach a copy of the Bill of Lading) PRO No. Shortage Date: Your reference # (optional): Preparer’s Name: P/U date Damage Other (specify) Claimant’s CORRESPONDENCE (MAILING) address: Firm name (please print) Make Check Payable (REMIT TO) (Complete ONLY if different) Firm name (please print) Address Address City State Phone # Zip Fax # City State Phone # Zip Fax # Claimant’s Email address : Shipper Consignee Shipper City/State/Zip Consignee City.

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