Must be reported within 48 hours of Receipt

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

ATTACHMENTS & CARRIER INFO

Max. file size: 20 MB.
Max. file size: 20 MB.

CLAIMANT'S INFORMATION

Name(Required)
Please type your name for signature purposes

Freight Claim

Pacmat Freight Claim

Must be reported within 48 hours of Receipt

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

ATTACHMENTS & CARRIER INFO

Max. file size: 20 MB.
Max. file size: 20 MB.

CLAIMANT'S INFORMATION

Name(Required)
Please type your name for signature purposes