Shipment is damaged

Ship date

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No. of packages

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Weight

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FedEx control number

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Quantity of Packages *

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Item Number *

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Item Description *

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Claimed Amount *

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Quantity of Packages

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Item Number

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Item Description

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Claimed Amount

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Quantity of Packages

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Item Number

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Item Description

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Claimed Amount

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Contents of shipment

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Describe damage to outer packaging (If Damaged was selected under Shipment Information)

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Describe damage to inner packaging (If Damaged was selected under Shipment Information)

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Describe damage to contents (If Damaged was selected under Shipment Information)

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Declared value *

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FedEx pack & ship fee

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Declared value for customs

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Freight charge

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Merchandise value *

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Total claim / C.O.D. amount

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Customer remarks

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Salvage

If your claim is filed for damage, and mitigation through repair or allowance is not possible, please explain why and provide contact information for salvage pickup. Salvage should be held until investigation of the claim is complete.

Salvage Contact

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Phone

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fax

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