Follow the steps to fill out the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the name of the claimant in the designated field. Make sure to provide the full name for identification purposes.
3. Fill out the consignment note number as received from the shipping documentation. This is crucial for tracing the shipment.
4. Enter the date of despatch for the goods. This helps establish the timeline for any claims regarding loss or damage.
5. Input the customer account number associated with your shipping account, allowing the service provider to link the claim to your account.
6. Provide your customer phone number and the contact person's name so that the company can reach out if additional information is required.
7. Fill in the mobile number of the contact person for easy and quick communication.
8. If applicable, include the facsimile number for further documentation submissions.
9. Enter the email address for confirmation and communication regarding the claim.
10. Complete the sender (consignor) and receiver (consignee) information accurately, including full addresses.
11. Specify the date of claim and the date goods were delivered. This information is crucial for processing time-sensitive claims.
12. Describe the goods accurately in the description field, ensuring to attach copies of delivery documentation as required.
13. Detail the loss or damage sustained, selecting whether the items were lost or damaged.
14. Provide a clear description of the incident that resulted in the claim to offer context for your request.
15. State the value of the claim in dollars, using accurate documentation to support your claim's value.
16. Enter the name of the individual submitting the claim, confirming that you are authorized to do so.
17. Attach a copy of the original cost price invoice from the supplier for the goods in question.
18. If applicable, include the name of your COPE account manager for reference.
19. Review the declaration statement, confirming that all information provided is accurate and complete.
20. Print your name in the space provided for the person who completed the form.
21. Enter your email address again for correspondence regarding the claim.
22. Provide your signature to validate the claim and print the date of completion.
23. Include your telephone number for any further queries that may arise regarding the claim.
24. Ensure all required documentation is attached, including the copy of the consignment note, proof of delivery, incident report, cost price invoice, digital photographs if damaged, and any other evidence of loss or damage.
25. Once completed, review the entire form for accuracy, then save the changes, download, print, or share the form as necessary.

Start your warranty claim process online today by filling out the form accurately and submitting it with all required attachments.