Claims registration - Transport - Verlingue Switzerland

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Claims registration

Please complete your damage report

Transport

Responsible person

Company

Surname*

First name*

Telephone number*

Email*

IBAN or PC number

Subject to VAT YesNo

How did the damage occur

Date of damage (identified)*

Location of damage (address)*

Description of the loss event

Name/address where the goods can be inspected

Name/address of the person who caused the damage

Notes

Route

Dispatcher

Recipient

Location of dispatch/reception

Date of dispatch/receipt

By whom was it loaded/stowed/unloaded

Notes

In the case of damage ata trade fair/exhibition

Name of the trade fair

Town/city

Duration (from/to)

Police report

Has a police report been made? YesNo

If yes: Police station, date of report and officer in charge

General information

Was the damage noted on the dispatch notes? YesNo

If not, why not?

Has a letter of liability been sent to the carrier?

Did the carrier’s authorised representatives survey the damage?

Name of the carrier’s surveyor

Where are the damaged goods located?

Is there any other insurance for this loss event?

Industry and insurer

Miscellaneous

Remarks

Possible enclosures available (please tick the enclosed documents)

Commercial invoice (sale/purchase)Packing list/weight listTransport, forwarding orderLiability letter to the carrierResponse from the responsible carrierCMR waybill/delivery noteSurveyor’s reportLoss confirmation/loss reportRequest for investigation by the post office/compensation agreement with the post officeOther documents (correspondence/photos, etc.)

Documents

Add enclosures to the notice of claim here (max. 5 MB per file)

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