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 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 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 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: