Read SFLSimplifiedClaimForm.xls text version

To:

Cargo Claim Department Southeastern Freight Lines, Inc. P. O. Box 1691 Columbia, SC 29202

Today's Date SEFL Freight Bill Number Freight Bill Date Your Reference Number Claim Amount $ Required Required Optional Required

Please check one:

Visual damage (noted on delivery receipt) Concealed damage (discovered after delivery) Shortage (noted on delivery receipt) Concealed shortage (discovered after delivery)

Detailed statement showing how claim amount is determined:

(e.g., number and description of articles, nature and extent of loss or damage, invoice price of articles, etc.) $ $ $ $ $

Total claim amount

Salvage: claim may be declined.

$

All claim freight, including parts and packaging, must be retained for carrier inspection or disposition or your

Salvage Freight is available at (address):

Contact Please include this information to avoid delay in settling your claim.

Phone E-mail

Fax

Claim Requirements:

Claims cannot be entered or processed without this information.

Valid SEFL freight bill number or bill of lading with SEFL associate signature Claim amount with copy oforiginal invoice to validate claim amount Detailed repair invoice if claim is for repairs Claimant's signature and typed or legibly-written contact information For questions, please call 803-794-7300, ext 2403.

Company Mailing Address City/State/Zip Phone Fax E-Mail

Signature of Claimant

Print name of contact person

Mail claim form to above address or FAX to 803-739-1540 or e-mail to [email protected] .

Every effort will be made to process your claim within 30 days of receipt.

Information

SFLSimplifiedClaimForm.xls

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