Claim Notification

* denotes required field.

Type of claim *
Total lossTotal loss

Part lossPart loss

DamageDamage

Your reference

Title *

Surname *

Booking reference *

Consignment no(if known)

Date of dispatch *

Claim details

Weight of missing or damaged item(s) *

Packaging * (Please describe how the consignment is/was packaged)

Please provide full details of claim * (including extent of damage)

Full description of missing or damaged item(s): * (product type, quantity, dimensions, serial number/s, colour etc.)

Cost value of total consignment *(excluding profit margin, VAT & postage)

Cost value of missing or damaged item(s) *(excluding profit margin, VAT & postage)

Repair cost:(if applicable)

Salvage value:(Net recoverable value after disposal costs, if applicable)

Total amount of claim *(excluding profit margin, VAT & carriage)

Where can the goods & packaging be inspected? *

Signature & contact details

CONDITIONS
I confirm that the above statements are true and I am legally entitled to payment of any claim for the lost or damaged item(s) in accordance with the Terms and Conditions under which the item(s) was/were posted. In the event of loss I also undertake to advise Same Day Dispatch Services immediately if any of the items on this form are subsequently traced and to reimburse Same Day Dispatch Services with any monies paid in compensation for these items.

Signed *(Please enter your full name)

Company name:(if applicable)

Address *

Email *

Daytime telephone number *(mouseovertap 1st field for country code)

Type in the security code *

Security code: