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CARGO CLAIM FORM
Please fill it out and e-mail back including all claim documents requested in claim procedures file.
WITHOUT THE CLAIM DOCUMENTS ATTACHED THE CLAIM CANNOT BE FORWARDED TO iQ GL CLAIM DEPARTMENT.
Send To Printer
C L A I M F O R M
Date Of Report
Jan (01)
Feb (02)
Mar (03)
Apr (04)
May (05)
Jun (06)
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Your Ref #EX/IM
Company Name (if applicable):
Contact:
Mailing Address:
Phone:
Fax:
Shipper:
Consignee:
Insured/Declared Value:
Invoice Amount:
Certificate of Insurance# :
iQ GL Air Bill / BOL #:
Date of AWB / BOL:
Jan (01)
Feb (02)
Mar (03)
Apr (04)
May (05)
Jun (06)
Jul (07)
Aug (08)
Sep (09)
Oct (10)
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From:
To:
Date of Delivery:
Jan (01)
Feb (02)
Mar (03)
Apr (04)
May (05)
Jun (06)
Jul (07)
Aug (08)
Sep (09)
Oct (10)
Nov (11)
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Date Of Discovery:
Jan (01)
Feb (02)
Mar (03)
Apr (04)
May (05)
Jun (06)
Jul (07)
Aug (08)
Sep (09)
Oct (10)
Nov (11)
Dec (12)
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Weight of the Damaged/Missed Goods:
Description of Shipment/Cargo (Container #, Number of Boxes, etc.):
Location Of Goods:
Describe Damage:
Amount of Claim:
$
Do You Have Your Own Cargo Insurance?
Yes
No
The Following Claim Documents Have Been Submitted:
iQ GL Airbill / BOL
Commercial Invoice
Packing List
Delivery Receipt
Photographs YES
Repair Bills/Estimates
Police Report
Survey Report
Other
Claimant's Signature:
Date:
Jan (01)
Feb (02)
Mar (03)
Apr (04)
May (05)
Jun (06)
Jul (07)
Aug (08)
Sep (09)
Oct (10)
Nov (11)
Dec (12)
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Print name:
Title:
Send To Printer
General Time Limitations for Filing Claims (Always Refer to the Airbill or Bill of Lading for Specific Time Limitations):
Claims for loss or damage must be filed in writing with Forwarder within 180 days after the date of acceptance of the shipment by iQ GL
Claims for concealed loss/damage must be reported to the Forwarder in writing within 15 days after the date of delivery, with privilege to the Forwarder to inspect the container(s) and contents within 15 days after receipt of such notice.
iQ Global Logistics Corp ®
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