Claim Entry Form

Claim Type:
Ship/BOL Date:
Delivery Date:
Currency:

Addresses:
Claimant Shipper Consignee
















Edit Edit Edit
Products:
Part # Part Description SO Number Sub Product Quantity Unit Cost [] Unit Weight Line Total []
No Products have been entered.
+Add Product Download products template
Additional Costs: (freight, repairs, labor, packaging, etc.)
Type Description Amount []
No Additional Costs have been entered.
+Add Additional Cost
Total Weight of Claim:
$
Total Amount of Claim:
Documents:
0 KBs of 12288 KBs used (Limits: 12288 KBs per File / 12288 KBs per Claim)
Document Type Document Id Date Of Attachment
No Documents have been entered.
+Add Document
(You may drop multiple documents at one time)
Drop Documents here
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    Add Other Information:
    Flock Freight Reference #:
    Summary of Claim:
    Claim Contacts:(Please ensure to add your contact information)
    Name Title Phone # Email
    No Contacts have been entered.
    +Add Contact
    Contact Info:

    Any questions, please contact your customer representative or Flock Freight Claims department at
    EMAIL: Claims@flockfreight.com

    Quick Claim (2.6.28)
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