Freight Claim

Please fill out the freight claim below.

Date(Required)

Pacmat Reference Number (PO# or Order#)(Required)

If replacement material is needed please contact customer service at 800-345-6287 to get replacement order entered.

Delivery Receipt(Required)

Max. file size: 20 MB.

Photos or Videos of Damage(Required)

Max. file size: 50 MB.

Carrier Company Name

Carrier's Pro Number

Estimated dollar amount of damage

Description of damage and the amount of goods damaged

Name(Required)

First Last

Company Name(Required)

Phone

Signature(Required)

Please type your name for signature purposes

Products