Resources & Documents Cargo Damage/Shortage Claim

Cargo Damage/Shortage Claim

Cargo Damage/ Shortage Claim

*Shipper Name:

*City/ Province:

*Contact Name:

*Consignee Name:

*City/ Province:

*Contact Name:

*Date Shipped:

*Date Received:

*FB#:

*REF#:

*Loss:

*Damage:

*Claim Amount $:

*Was the Damage Noticed at Time of Delivery?YesNo

Was the Packaging CrushedPuncturedTornOther

Description of Damage

*Name of Claimant Company

*Email Address

*Signature of Claimant(First and Last Name):

*Date:

I certify that all of the information provided to GX Transportation is true and correct. By clicking this box; I am aware that it will act in place of my signature.

Please upload the following documents:
*Please note - There is a size limit of 5MB per each document.

*Bill of Lading

*Packing Slip listing all of the products that were shipped

*Supplier’s Invoice showing cost of goods and all discounts associated

*Invoice to GX with the final amount for the claim

Please leave this field empty.

Cargo Damage/Shortage Claim

Cargo Damage/ Shortage Claim

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