Submit A Claim

You must have these items ready before you submit your claim:

1. Bill of Lading (Or inland waybill, or any other proof of shipment)
2. Delivery receipt(s)
3. Invoices. Identify or mark damaged/short items
4. Photos of damage for claims exceeding $750.00
5. Other relevant information pertaining to the claim if applicable

Please note:

  • Damaged goods must be retained for presentation at time of settlement.
  • Depending on the type and extent of loss, other documents may be required.

Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree.

"*" indicates required fields

MM slash DD slash YYYY
MM slash DD slash YYYY
Itemized statement showing how amount claimed is determined (Number and description of articles, invoice price of articles, freight cost, etc.)*
Description of item
Item Value (USD)
 
Mailing Address*
I confirm the above is true and correct.
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              Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree.