Claim Entry Form

Bill of Lading Document
Customer Credit Reference #
Claim Type:
Ship/BOL Date:
Delivery Date:
Currency:

Addresses:
Claimant Carrier Consignee






Provide Carrier Name (if available)

Carrier Address Line 1


Carrier City, TX, Zip Code

UNITED STATES






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Products:
Part # Part Description SO Number Sub Product Quantity Unit Cost [] Unit Weight Line Total []
No Products have been entered.
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Total Weight of Claim:
$
Total Amount of Claim:
Documents: (Required Documents: Bill of Lading Document, Customer Credit Reference #)
0 KBs of 8192 KBs used (Limits: 4096 KBs per File / 8192 KBs per Claim)
Document Type Document Id Date Of Attachment
No Documents have been entered.
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    Summary of Claim:
    Location of Shipment:
    Claim Contacts:(Please ensure to add your contact information)
    Name Title Phone # Email
    No Contacts have been entered.
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    Contact Info:

    For any questions, please contact our claims specialist at
    EMAIL: claims@ariesww.com
    OR CALL 281-951-5168

    Quick Claim (2.6.28)
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