"Claim Form for Lost or Damaged Domestic or International Shipments"

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FedEx Express
Claim Form Instructions and
Frequently Asked Questions (FAQs)
Read the following FAQs for answers on the claim resolution process.
When should I file my claim?
Who can file a claim?
Claims for concealed loss, visible or concealed damage, delay
The sender, the recipient or a third party can file the claim.
and FedEx
Collect on Delivery (C.O.D.) payment (where
®
applicable) must be reported within 21 calendar days and all
How do I file a claim?
supporting documentation filed within 9 months of delivery date.
Follow the three easy steps listed below to file your claim.
How long will the claim resolution process take?
Step 1: Choose one of the following options:
Most cases will normally be resolved in 5 to 7 business days
• C omplete and submit a claim form online at
after we receive your claim form and supporting claim
fedex.com/nl_english/contact
documentation, unless additional time for research is needed.
• C all customer service at
0800 0222 333
What should I do with the merchandise and
shipment packaging?
• C omplete a claim form and e-mail, fax or mail it
Keep the merchandise and all original packaging, including
(see step 3).
cartons and contents, until the claim resolution process is
finished. It may be necessary to make the packaging available
Step 2: Gather the following documentation:
to FedEx for inspection.
• P hotocopy of FedEx air waybill, FedEx Ship
Manager
printout, or delivery receipt.
®
Where can I find specific information about the claim
resolution process?
• A ll documentation related to the proof of value (copy
For more detailed information, including time limits
of original invoice from vendor or supplier, copy
for specific claim types, go to fedex.com/nl
of retail invoice or receipt, final confirmation
or refer to the current FedEx Service Guide.
screen if online order with proof of payment,
itemized repair invoice or statement of non-repair,
appraisals, expense statement, or any other
applicable documentation).
• Serial number(s) of merchandise, if applicable.
• Inspection report, if applicable.
Step 3: E -mail, fax or mail the completed claim form with the
supporting documentation to:
E-mail: netherlands@fedex.com
Fax: +31 (0)20 500 56 10
FedEx
Customer Relations Department
Brequetlaan 25
1438 BC Oude Meer
The Netherlands
31581PL
9/15
FedEx Express
Claim Form Instructions and
Frequently Asked Questions (FAQs)
Read the following FAQs for answers on the claim resolution process.
When should I file my claim?
Who can file a claim?
Claims for concealed loss, visible or concealed damage, delay
The sender, the recipient or a third party can file the claim.
and FedEx
Collect on Delivery (C.O.D.) payment (where
®
applicable) must be reported within 21 calendar days and all
How do I file a claim?
supporting documentation filed within 9 months of delivery date.
Follow the three easy steps listed below to file your claim.
How long will the claim resolution process take?
Step 1: Choose one of the following options:
Most cases will normally be resolved in 5 to 7 business days
• C omplete and submit a claim form online at
after we receive your claim form and supporting claim
fedex.com/nl_english/contact
documentation, unless additional time for research is needed.
• C all customer service at
0800 0222 333
What should I do with the merchandise and
shipment packaging?
• C omplete a claim form and e-mail, fax or mail it
Keep the merchandise and all original packaging, including
(see step 3).
cartons and contents, until the claim resolution process is
finished. It may be necessary to make the packaging available
Step 2: Gather the following documentation:
to FedEx for inspection.
• P hotocopy of FedEx air waybill, FedEx Ship
Manager
printout, or delivery receipt.
®
Where can I find specific information about the claim
resolution process?
• A ll documentation related to the proof of value (copy
For more detailed information, including time limits
of original invoice from vendor or supplier, copy
for specific claim types, go to fedex.com/nl
of retail invoice or receipt, final confirmation
or refer to the current FedEx Service Guide.
screen if online order with proof of payment,
itemized repair invoice or statement of non-repair,
appraisals, expense statement, or any other
applicable documentation).
• Serial number(s) of merchandise, if applicable.
• Inspection report, if applicable.
Step 3: E -mail, fax or mail the completed claim form with the
supporting documentation to:
E-mail: netherlands@fedex.com
Fax: +31 (0)20 500 56 10
FedEx
Customer Relations Department
Brequetlaan 25
1438 BC Oude Meer
The Netherlands
31581PL
9/15
Claim Form
For lost or damaged domestic or international shipments
Sender or Shipper’s Name / Contact
Recipient’s or Consignee’s Name / Contact
Company
Company
Address
Address
City
State / Province
City
State / Province
Country
ZIP / Postal Code
Country
ZIP / Postal Code
Phone
Fax
Phone
Fax
E-Mail
E-Mail
Tracking or Freight Bill
Numbers
Multiple tracking numbers for the same sender, recipient, and ship date allowed.
Shipment Information
Ship date
No. of packages
Weight
FedEx control number
Loss
(NOTE: Call FedEx Customer Service to obtain a FedEx Express control number.)
Complete
Partial
Qty of Packages
Item #
Item Description
Claimed Amount
Damaged
Please retain all packaging and merchandise
until your claim is resolved.
Contents of shipment
C.O.D.
Describe damage to outer packaging
For FedEx Express
®
Only
Describe inner packaging
Describe damage to contents
Note: Please indicate currency
Declared value
Declared value for customs
(The value declared on the
used on all values.
(International shipments only)
shipment when tendered to FedEx)
Merchandise value
(Original purchase value and/or cost to repair)
FedEx pack & ship fee
Freight charge
Total claim / C.O.D. amount
Customer remarks
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
Salvage should be held until investigation of the claim is complete.
Salvage Contact
Phone
Fax
I accept that the foregoing statement of facts is hereby certified as correct.
Claimant Information
Date
Signature (for fax or mail)
Internal Reference No.
Claimant’s Name (please print)
Phone
Fax
Claimant’s Address
City
State / Province
BIC (Bank Identifier Code)
Country
ZIP / Postal Code
Bank Account No. (IBAN)
E-mail
E-mail, Fax or Mail
Please return the completed form and required Proof of Value documentation (invoice and/or receipt).
SUBMIT
31581PL 9/15
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