Logistics Department

Loss and Damage Claims Procedure

FREIGHT CLAIMS RECOVERABLE COSTS

The following costs are recoverable and are to be included as part of this claim.

Note: After entering numbers into the form, press TAB to update the Total calculations.

General Information
Carrier:	Click here to enter text.	Pro Number:	Click here to enter text.
Shipper:	Click here to enter text.	PO Number:	Click here to enter text.
Claim Number:	Click here to enter text.	Carrier Number:	Click here to enter text.

Freight Charges
Outbound	CTL No:	Click here to enter text.	Pro No:	Click here to enter text.
Date Paid:	Click here to enter text.	Amount Paid:	$0.00
Inbound	CTL No:	Click here to enter text.	Pro No:	Click here to enter text.
Date Paid:	Click here to enter text.	Amount Paid:	$0.00
Return to Shipper	CTL No:	Click here to enter text.	Pro No:	Click here to enter text.
Date Paid:	Click here to enter text.	Amount Paid:	$0.00
Disposition/Scraping	CTL No:	Click here to enter text.	Pro No:	Click here to enter text.
Date Paid:	Click here to enter text.	Amount Paid:	$0.00
Note: The total cost will be calculated for you.	Total Freight Charges	$0.00

Packaging Material
Description of Material Used	Click here to enter text.	Cost of Material:	$0.00
Description of Material Used:	Click here to enter text.	Cost of Material:	$0.00
Description of Material Used:	Click here to enter text.	Cost of Material:	$0.00
Note: The total cost will be calculated for you.	Total Packaging Costs	$0.00

Labor Costs
Repackaging	Hours:	0.00	Wage:	$0.00/hour	Total Cost:	$0.00
Restocking	Hours:	0.00	Wage:	$0.00/hour	Total Cost:	$0.00
Sorting and Segregating	Hours:	0.00	Wage:	$0.00/hour	Total Cost:	$0.00
Inspection and Testing	Hours:	0.00	Wage:	$0.00/hour	Total Cost:	$0.00
Note: The total cost will be calculated for you.	Total Labor Costs	$0.00

If you have any questions or cannot supply the requested documents, please contact Dick Lucarelli at CDS at

874-397-1993.

Copyright by CDS. This form may not be duplicated without written permission from CDS.