Order Number *

Your Name *

Email *

Phone *

Carrier Name *

UPS, FedEx, SAIA, TForce, etc

Product SKU *

Damaged Qty *

Reason for Claim *

Requested Method of Resolution *

Image of item inside the box, with all original cushioning and packing

Multiple images preferred

temp-for-88383-file2-1_

Image of shipping label with tracking number clearly visible

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If delivered via LTL, include image of the BOL (Bill of Lading)

Please list details of the lost or damaged package *

If delivered via LTL, please include the following -

1. The appointment day and time you expected the carrier to arrive

2. The day/time the carrier made the delivery (if applicable)

3. Any additional communication you had with the carrier at time of delivery (i.e. refusing delivery due to noticeable damage)

I certify the information provided is accurate and complete *

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