Submit Your Claim Request

Shareyour information

Need to file a claim? Fill out the form below to submit a claim request.

Claim Form

Type of Claim

- Freight Claim: for product damaged or lost by the carrier
- Shortage Claim: order shows up with less than originally ordered
- Pricing Claim: final price is in dispute

Company Name

Name

First

Last

Send Credit Memo to Submitter?

Purchase Order #

Customer #

Item(s) & Qty

Please type each item on a new line

Estimated Dollar Value of Claim

Additional Comments

Bill of Lading

Drag & Drop Files, Choose Files to Upload You can upload up to 4 files.

Maximum upload limit is 10MB.

Required for Freight Claims: Signed Delivery Ticket from Carrier Driver with Damage Noted. Credit claim may be denied due to lack of information provided.

Photo

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

Maximum upload limit is 10MB.

Required for Freight Claims: Pictures of the damaged product. Please send as many pictures as you can showing damage from carrier. File Formats Allowed: .png, .jpg, .doc, .pdf, .jpeg