CLAIM SUBMISSION
Please submit one claim per box/tracking number
Claim Submitted By:
*
Contact Number:
*
Contact Email:
*
Shipping Company Name:
*
Order Refernce Number:
*
Claim Number (assigned by you if left empty we will assign one):
Original Method of Shipping:
*
Please Select
USPS Ground Advantage
USPS Express
USPS Priority
UPS Ground
UPS 3 Day Select
Ups 2nd Day Air
UPS Next Day Air
UPS Next Day Air AM
Tracking Number:
*
Shipment Value (remember at cost not the sale price):
*
Did you insure the item (choose declared value):
YES
NO
Describe the reasons for the claim or any other notes pertinent:
*
Submit
Should be Empty: