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BFS Reference #:
Company Name:
Email:
Address:
City/Town:
State/Province:
Postal Code:
Phone No.
Fax No.
Contact First Name:
Contact Last Name:
This claim for damages/shortages is made against Big Freight Systems Inc. in the amount of $ (currency-CDN or USD) in connection with the following described shipment:
I understand and acknowledge that the conditions of cartage require that the freight bill be paid in full before Big Freight Systems Inc will consider any claim for damages/shortages.
Shipping Date:
Receiving Date:
Describe the Reason for the claim and possible cause:
Show breakdown of amount being claimed:
In addition to the above information, the following documents must be submitted in support of the claim (originals only, photo-copies will not be accepted):
I agree that this information is accurate and true to the best of my knowledge.