Claim Form

Venn-Corp Claims Form

General Info

* Indicates required field

Name *

First

Last

Company Name *

Claimant's Ref *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Pro Number *

This claim is for $ *

Claim Type *

Salvageable? *

Shipper Info

Shipper Name *

Carrier Issuing BOL *

Shipment Date *

Shipped From (City, St) *

BOL Date *

Consignee Info

Consignee Name *

Delivering Carrier *

Delivery Date *

Shipped To (City, St) *

Carrier's Freight Bill Number *

Statement

DETAILED STATEMENT SHOWING HOW AMOUNT CLAIMED IS DETERMINED
(Number and Description of articles, nature and extent of loss or damage,
invoice price of articles, amount of claim, etc.) ALL DISCOUNTS AND ALLOWANCES MUST BE SHOWN

Detailed Statement Showing How Amount Claimed Is Determined *

NMFC of Commodity *

Weight of Commodity *

Documents

BOL *

Max file size: 20MB

Carrier Inspection Report *

Max file size: 20MB

Invoice *

Max file size: 20MB

Original Bill of Sale *

Max file size: 20MB

Freight Bill *

Max file size: 20MB

Consignee Damage Form *

Max file size: 20MB

Shipper's Damage Form *

Max file size: 20MB

Other *

Max file size: 20MB

(Note: The absence of any document called for in connection with this claim must be explained. When impossible for claimants to produce original bill of lading, or paid freight bill, a bond of indemnity must be given to protect carrier against duplicate claim supported by original documents.)

NOTICE TO CLAIMANTS

Claimants are required to make use of this form for filing claims with carriers. Claims may be filed with the carrier’s agent either at the point of origin or destination of shipment, or direct with the Claim Department of the carrier, and will be considered properly presented only when the information and documents called for on the other side of this form have, as far as possible, been supplied. Before presenting a claim on account of loss and damage, the following important information respecting claims should be given careful consideration:
1. The terms under which property is accepted and transported by a carrier are stated on the bill of lading issued by the carrier. Persons intending to file claims should before doing so, examine the terms and conditions under which the property was accepted and transported.
2. Carriers and their agents are bound by the provisions of law, and any deviation therefrom by the payment of claims before the facts and measure of legal liability are established will render them, as well as the claimant, liable to the fines and penalties by law.
3. In order that carrier may have an opportunity to inspect goods and thereby properly verify claims, any loss or damage discovered that delivery should be reported to the agent of the delivering line, as far as possible, immediately upon discovery, or within forty-eight hours after receipt of goods by consignee. Concealed loss and damage claims should be supported by an “Inspection Report Form” covering the joint inspection of the loss or damage by consignee and carrier’s representative. Disposition of concealed loss and damage claims will be expedited by including “Consignee’s Concealed Loss or Damage Form” and “Shipper’s Concealed Loss or Damage Form” as supporting documents when claim is filed.
4. It is a common practice for manufacturers and others to ship large quantities to key points for warehousing and later distribution to surrounding areas. In many instances, the original container is not opened and the contents examined before re-shipment to final destination. When this practice is followed, it is impossible to determine after delivery to final destination whether loss or damage of a concealed nature occurred before or after re-shipping. Motor carriers will settle claims of this nature on basis of mileage prorate from first shipping point to final destination and cooperate and assist claimant in collecting balance of such claims from carriers performing the prior transportation. Consignees can usually expedite settlement by securing initial shipper’s and warehouse’s cooperation in supplying necessary billing reference so that shipment can be identified in handling with carriers tendering transportation to the distribution point.

Damaged FRT must be retained until the claim is resolved at which time if the claim is paid the carrier is entitled to the damaged product in order to mitigate their loss
All damage or shortages must be noted on the POD at time of delivery or must be filed within 24 hours of delivery or claim may be denied
If trailer is sealed the POD must be noted that seal was broken before delivery
Photos of damage should be taken on the trailer if possible
For CND claims if the declared value is not noted on the BOL they carrier is only liable for $2/pound
Carriers have the right to send out an insurance adjustor before the product is repaired or replaced
All damage must be repaired if this is cheaper then replacement

By selecting Submit, you acknowledge and agree to the Terms and Conditions as shown above.

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Venn-Corp Claims Form

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​Venn-Corp Claims Form

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Venn-Corp Claims Form