Language
English (UK)
Nederlands
Claim Form
First and Last Name
*
First Name
Last Name
Email
*
example@example.com
Company
Customer ID / Invoice number
(Voluntary information, but this can help us to better allocate your complaint)
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Claim 1 Description
Please describe the facts of the claim in as much detail as possible. Other comments that are relevant to your complaint can also be entered here.
Type of complaint:
*
Damaged items
Lost items
Delay
Other
If other, please specify
Detailed description
*
Please describe the facts of the claimin as much detail as possible.
Photos / PDF
Browse Files
Drag and drop files here
Choose a file
In the event of damage, please upload photos. However, please make sure that the photos were taken from a sufficient distance so that the damage can be assessed correctly.
Cancel
of
Do you have another claim?
*
Yes
No
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Claim 2 Description
Please describe the facts of the claim in as much detail as possible. Other comments that are relevant to your complaint can also be entered here.
Type of complaint:
*
Damaged items
Lost items
Delay
Other
If other, please specify
Detailed description
*
Please describe the facts of the claimin as much detail as possible.
Photos / PDF
Browse Files
Drag and drop files here
Choose a file
In the event of damage, please upload photos. However, please make sure that the photos were taken from a sufficient distance so that the damage can be assessed correctly.
Cancel
of
Do you have another claim?
*
Yes
No
Back
Next
Claim 3 Description
Please describe the facts of the claim in as much detail as possible. Other comments that are relevant to your complaint can also be entered here.
Type of complaint:
*
Damaged items
Lost items
Delay
Other
If other, please specify
Detailed description
*
Please describe the facts of the claimin as much detail as possible.
Photos / PDF
Browse Files
Drag and drop files here
Choose a file
In the event of damage, please upload photos. However, please make sure that the photos were taken from a sufficient distance so that the damage can be assessed correctly.
Cancel
of
Back
Next
The information provided is true and correct.
*
Yes
Submit
Should be Empty: