Claims Reporting

Your Position Shipper     Consignee Damaged Shipment Load # Claim Amount $ ($USD) The amount of the claim is due to Shortage Damage Other (list below)

If the claim involves damaged goods, please select all that apply: Damaged goods can be repaired. Approx Repair Cost $ Damaged goods can be used "AS IS" As-Is allowance cost of $ Damaged goods are unavailable (list below)

Please Describe the following: What the claim represents How the amount of the claim was calculated

Your Contact Information Claimant Contact Phone Email Fax

The Claim amount should be for actual product loss.
FMI will issue a claim to the carrier for the shipping cost.
If the shipping claim is approved, FMI will credit your account for the shipping charges.