PO Box 1409 • Hickory, North Carolina 28603
Phone 828-464-1803 • Fax 828-464-0147

Claims Form

This claim is made by:

Company Name:  
Email Address:    
Address:      
City:     
State:   
 ZIP Code:  
Phone #:  
This claim in the amount of is made against Shull Transport, LLC for:
  • Shortage
  
  • Damage in connection with the following described shipment

 

  
Shull Pro Number  
Claim Number  
Purchase Order #  
Acknowledgement #  
Detailed Statement showing how amount claimed is determined:
Acknowledgement #  
If the item can be repaired or sold at discount, please supply that amount here:
Please supply the following documents to help us process your claim:  

  1. Delivery receipt

  2. Inspection report (damage claims only)

  3. Original invoice

  4. Repair invoice

  5. Pictures of damaged merchandise and the container (damaged claims only)

    NOTE: Damage - Claimed damages must be inspected.  An inspection form is below for you to complete. Pictures should be mailed or supplied via email of the damaged merchandise and the container.

    Salvage Retention - It is the duty of the consignee to retain damaged merchandise and shipping container until the investigation of the claim is completed.  It is likewise the duty of the claimant, where there is substantial value in the salvage, to accept and handle it in such manner as to mitigate the claimed loss as much as possible, either through repairs or discounted.

    Shortage - This claim filing certifies that the above shortage has not been received and it is agreed that if the claim is paid and the shortage is subsequently received. the amount will be voluntarily refunded.

 
The foregoing statement of facts is hereby certified to as correct and in accordance with all conditions of the uniform bill of lading.
Name  
Title  
Acknowledgement #  
Date  
Phone  
We appreciate your having selected Shull as your carrier. We do everything in our power to assure that your shipment is delivered intact.  However, there are times when a claim will occur. If your shipment was delivered short or damaged, we will make every effort to settle your claim in a fair and timely manner.
     

INSPECTION REPORT OF LOSS OR DAMAGE
DATE OF REPORT  
DATE REQUESTED  
PRO #  
DATE  
SHIPPER  
ADDRESS  
City:     
State:   
 ZIP Code:  
CONSIGNEE  
ADDRESS  
City:     
State:   
 ZIP Code:  
Is shipment being inspected at original point of delivery?
If no, address inspection is being performed at
Quantity of articles damaged or lost  
Description of articles damaged or lost  
Explain in detail, the extent of damage to the container and contents: YOU MUST FORWARD BY EMAIL OR MAIL TO SHULL PICTURES OF BOTH THE CARTON AND THE MERCHANDISE:
 
Was loss or damage noted at delivery?     
Does container show signs of damage?  
Does container damage correspond to product damage?    
Based on present condition, should damage have been noted at delivery?  
Was original container held?     
Do you have an unloading dock?  
Can the merchandise be repaired?  
CONTAINER INFORMATION  
BOX  
PRECAUTIONARY MARKS  
INNER PACKAGING  
SHRINK WRAP  
SOLD PIECE  
STOCK:  
DOMESTIC  
 IMPORT  
     
DISPOSITION OF DAMAGED MERCHANDISE    
HELD BY CONSIGNEE  
TO BE REPAIRED  
AMOUNT  
CUSTOMER WILL KEEP AT A DISCOUNT  
AMOUNT  
RETURN TO SHIPPER  
NOTE: THIS REPORT IS MERELY A STATEMENT OF FACTS AND DOES NOT ACKNOWLEDGE CARRIER'S LIABILITY. 
INSPECTOR  
DATE  
PHONE  
YOUR CLAIM WILL BE FORWARDED TO:

Shane Mangus

CUSTOMER SERVICE MANAGER 

SHULL TRANSPORT, LLC  (828) 464-1803 EXT. 321