Submit Your Claim Request

Shareyour information

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

Claim Form

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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

Click or drag files to this area 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

Click or drag files to this area 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.