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STANDARD PROOF OF LOSS AND DAMAGE CLAIMS

UNDER UNIFORM HOUSEHOLD GOODS BILL OF LANDING



Loss & Damage Claims Form


Claimant Information


Description

If claim is for breakage or shortage to items packed in containers give following information:





Claimed Statement

(If applicable)


Claimed Statement

(If applicable)


Claimed Statement

(If applicable)


THE FOLLOWING DOCUMENT IS SUBMITTED IN SUPPORT OF CLAIM