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UPS Loss Claim Form

This document is a cargo loss and damage claim form from UPS Freight. It requests information to process a claim such as claimant name and reference number, shipping details of the consignee and shipper, a description of the damaged or lost items including quantity, weight, price and extended total, and required supporting documents like original invoices and repair bills. It provides notes that the claim will not be processed without supporting documents and that all claims must be filed within 9 months of delivery or the date on the Bill of Lading.

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Sharon Powell
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919 views1 page

UPS Loss Claim Form

This document is a cargo loss and damage claim form from UPS Freight. It requests information to process a claim such as claimant name and reference number, shipping details of the consignee and shipper, a description of the damaged or lost items including quantity, weight, price and extended total, and required supporting documents like original invoices and repair bills. It provides notes that the claim will not be processed without supporting documents and that all claims must be filed within 9 months of delivery or the date on the Bill of Lading.

Uploaded by

Sharon Powell
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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UPS Freight

Cargo Claims Department


P.O. Box 1216
Richmond, VA 23218-1216
Fax: 866-580-1944

CARGO LOSS & DAMAGE CLAIM


Claimant Name (Payable to): Claimant Reference Number: Date Prepared:

Mailing Address: UPS Freight Pro Number: Claim Type:


___ Shortage ___ Damage

City, State, Zip: Contact Name: Contact E-mail Address:

Remit to address (if different than above): Contact Phone Number:

CLAIM IS MADE WITH UPS FREIGHT ON THE FOLLOWING DESCRIBED SHIPMENT


Consignee City, State & Zip

Shipper City, State & Zip

DETAILED STATEMENT SHOWING HOW AMOUNT OF CLAIM IS DETERMINED


Weight Per Price
Quantity Description/Part # Item Per Item Extended Total
0.00
$ $
0.00
$ $
0.00
$ $
0.00
$ $
0.00
$ $
0.00
$ $
0.00
Total Claimed Amount: $

DOCUMENTS REQUIRED IN SUPPORT OF YOUR CLAIM


 Original invoice or certified copy showing prices
 Repair bill or certified copy (if repaired) showing material used & labor rate per hour
 Additional documents (photos, statements, etc.) Do not fax pictures – please send separately referencing pro number
 Weight of item(s) claimed

NOTE:
To expedite the handling of your claim, please include the above mentioned documents as your claim WILL NOT BE
PROCESSED until properly supported. Retain all damaged goods until the claim is concluded.

If your claim is in regards to a package that begins with a 1Z tracking number, you cannot use this form. Please visit
ups.com or call 1-800 Pick-UPS for information regarding your small package claim.

All claims must be filed no more than 9 months from date of delivery. Shortage claims must b filed within 9 months
from the date on the Bill of Lading. CLAIMS FILED AFTER THIS PERIOD WILL NOT BE ACCEPTED

OTC-18 version 01-30-17

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