Cargo Loss and Damage Form

Please complete this form and hit "Submit" when finshed. Our site will automatically generate an email to the appropriate party.
Please attach any supporting documentation to this email.

Claimant Company:  
Claimant Name:  
Address:  
Phone Number:  
Fax Number:  
Email Address:  
 
Claim Amount of $ is filed against ECM TRANSPORT, LLC for:
Noted Damages on Bill of Lading (BOL)
Shortages
Concealed Damages
Other
   
Shipper Name:  
Shipper Address:  
Phone Number:  
Contact:  
   
Consignee Name:  
Consignee Address:  
Phone Number:  
Contact:  
   
ECM TRANSPORT, LLC Order Number:
Claimant Reference Number:
   
Please describe what the claim represents and show how the amount for the claim was calculated
Product Desription       Claim Amount
 
If the claim involves damaged goods, please complete the following:
Damaged goods can be repaired for the amount of: $  
Damaged goods can be used "as is" for an allowance of: $  
Damaged goods are available for carrier pickup at this amount: $  
Damaged goods are unavailable (Please explain):  
 
Hitting "Submit" will generate an email to the appropriate party at ECM TRANSPORT. To avoid delay in processing your claim, please attach the following documents to the your email before sending. Thanks for choosing ECM TRANSPORT!
  1. Copy of BOL
  2. Vendor's Invoice showing price of lost or damaged goods
  3. Consignee's copy of freight bill, bearing loss or damaged notations
  4. Itemized repair bill
  5. Inspection Report
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