Title: CARGO CLAIM FORM
1WORLD WIDE CARGO SENDERS
CARGO CLAIM FORM
Singapore Cargo
Attn Cargo claims
P.O. Box 31260
Doha, Qatar
Fax
4431492
To
Please attached the following documents together
with this claim form
-Original
Invoice
-Photos of damaged
goods
-Packing List
-Copy of repair bill estimate
HWB No
(This must be completed in
order to process your claim)
Origin Destination Date of
Shipment Pieces
Weight
Shippers Name Receivers Name
Contact Name Contact Name
SECTION I
Street Address Street Address
City State Province Country City State
Province Country
Postal Code Telephone No Zip/Post
Code Telephone No
Claim being made by Shipper Receiver
Description of Goods Lost or Damaged Amount of
Claim 1)_______________________________________
______________________________________
QAR__________ 2)_________________________________
____________________________________________
QAR__________ 3)_________________________________
____________________________________________
QAR__________ 4)_________________________________
____________________________________________
QAR__________ 5)_________________________________
____________________________________________
QAR__________ 6)_________________________________
____________________________________________
QAR__________ 7)_________________________________
____________________________________________
QAR__________ 8)_________________________________
____________________________________________
QAR__________ 9)_________________________________
____________________________________________ QAR_
_________ Total loss weight _______________
Total amount
QAR__________
SECTION II
Name of Person Completing Form
Date
Signature of Claimant
Claimant hereby certifies that the foregoing
statement of facts is true and correct.
All claims must
be submitted within 15 days of the acceptance of
the consignment.
Please attach documentation in support of
the amount claimed e.g. invoices, receipts, etc
Please allow 6-7 weeks for
processing