Claims Form

About the company
Company name*
Website
Company address*
Street Address Address Line 2 Town/City County/Region Postcode Country
VAT Registered?*
- Yes
- No
Your VAT reference*
About the claimee
Contact Name*
Prefix First Last
Job Title*
Phone*
Fax
Email*

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The nature of caim
Claim type*
- Damage
- Shortage
- Non-Delivery
Sanderson Consignment Reference
Customer Consignment Reference
Delivery Name*
Delivery Postcode*
Collection Date*
Date Format: DD slash MM slash YYYY
Date Of Incident*
Date Format: DD slash MM slash YYYY
Please indicate if this is the first written noficiation of the incident
- Yes
- No
Detailed Description of goods lost or damaged*
How were the goods packed and secured onto the pallet?
State where can the damaged goods be inspected?
Total weight of consignment
Please enter a number greater than or equal to 0.
Total weight of goods lost or damaged
Please enter a number greater than or equal to 0.
Units used*
Value of Consignment
Value of Goods Lost or Damaged
Can the goods be salvaged?
- Yes
- No
Salvage Value of Goods Lost or Damaged

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Evidence of loss/damage & documentation
Supporting Documentation
Cost Price Invoice or Evidence of Cost
Allowed file types jpg, jpeg, gif, png, pdf
Accepted file types: jpg, jpeg, gif, png, pdf.
Sales Invoice to Customer
Allowed file types jpg, jpeg, gif, png, pdf
Accepted file types: jpg, jpeg, gif, png, pdf.
Photographs of Damaged Goods
Allowed file types jpg, jpeg, gif, png, pdf
Drop files here or
Survey Report
Allowed file types jpg, jpeg, gif, png, pdf
Accepted file types: jpg, jpeg, gif, png, pdf.
Signed Claused Collection/Delivery Note
Allowed file types jpg, jpeg, gif, png, pdf
Accepted file types: jpg, jpeg, gif, png, pdf.
If other please specify
- Keep me updated via email
Privacy*
- By using this form you agree with the storage and handling of your data by this website.
Email
This field is for validation purposes and should be left unchanged.

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About the company