Yukon Claim Notification Form
Please submit within 48 hours after receiving. Note: Editing of claim will not be allowed after 10 days of the original submission date.
Company Name
*
Please enter your company's name
Your Name
*
Please enter your company's name
E-mail
*
example@example.com
Sales Invoice or Order Number
*
Please enter the full invoice or order number
Air Waybill Number
Receive Date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date product was delivered to you
Submission Date + 10 days
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Submission Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Current Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Calculation
Calculation
Claim Category
*
Quality
Incorrect Quantity
Incorrect Price
Blocked by authorities
Other
Quality Claims
Rows
Product Name
Product Code/No.
Farm info: PUC & Date Code
Invoice Amount
Description of Issue
Pack Size
Final Claim (Amount)
Final Claim (Quantity)
Additional Cost To Be Credited (Amount)
Additional Cost (Description)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Short Quantities
Rows
Product Name
Product Number/SKU
Quantity Short/Missing
Price
Invoice Amount
Final Claim (Amount)
Final Claim (Quantity)
Additional Cost To Be Credited (Amount)
Additional Cost (Description)
1.
2.
3.
4.
5.
Shortage/destroyed by authorities
Rows
Product Name
Pack Size
Qty short/blocked
Product Number
Invoice Amount
Final Claim (Amount)
Final Claim (Quantity)
Additional Cost To Be Credited (Amount)
Additional Cost (Description)
1.
2.
3.
4.
5.
Upload Photos or QC report
*
Upload a File
Drag and drop files here
Choose a file
Please include pictures of traceability
Cancel
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Other Comments:
⚠️Claims cannot be edited after 10 days of the original submission date⚠️
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