Claim Form (316kb) - Ital Logistics 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your company name in the designated field. This identifies who is submitting the claim.
  3. Fill in your contact details, including telephone and email (or fax), ensuring accurate information for follow-up communication.
  4. Provide the date of shipment and delivery, along with the delivery point to establish a timeline for your claim.
  5. Specify the number and type of packages, as well as the commodity involved, to give context to your claim.
  6. Indicate the total gross weight of the shipment and the value of damaged or lost goods, which are crucial for processing your claim.
  7. Sign and date the form at the bottom to confirm that you have read and understood all terms and conditions associated with this claim.
  8. Attach any required documents such as invoices, packing lists, photographic evidence of damage, and send via post, fax, or email as instructed.

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The UB92 form (CMS-1450) is a standardized billing form used by healthcare providers to submit insurance claims for inpatient and outpatient hospital services, as well as for some other types of medical services. It was used in the United States from the 1980s until 2007 when the UB04 form replaced it.
In the event of loss or damage, the consignee would file a freight claim against the carrier for (i) damages to cover the loss and (ii) reimbursement of any freight paid.
WHAT IS A FREIGHT CLAIM? A claim is a demand in writing for a specific or determinable amount of money which contains sufficient information to identify the shipment received by the carrier within time limits specified in the Bill of Lading contract.