LETTER OF CLAIM
   
 

______________________

   
  (Name of delivering carrier)
______________________
   
 

(Address)

   
 
RE: Name of Vessel ________________________________________________
Bill of Lading number ____________________ Dated __________________ Voyage ___________________
Airway Bill number ____________________ Dated __________________    
Date of Arrival ____________________        
Description of shipment ________________________________________________
   
 

Gentleman,

 

We hold you responsible for the following:

   
 

1.      Non-delivery

2.      Pilferage                                                                (Circle Applicable One )

3.      Damage

4.      Contamination

   
 

That has occurred to our captioned shipment and or shipments.

   
 

When the extent of the loss has been determined, we will present you with a detailed claim.

   
 

If you wish to inspect the shipment, please contact:

   
  ___________________________________________
 

(Name)

   
  ___________________________________________
 

(Address)  

  ___________________________________________
  (Telephone number)
   
  Please acknowledge receipt of this letter and provide us with copies of your delivery receipt and survey report.
   
 

Yours faithfully,

   
  Acknowledgement                                                                                            Carrier's
   
   

 

__________________________________                                                         ________________________________

   
  (Signature and name of consignee)
   
 

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