Create Claim

Company name

Name of person raising claim

Contact number

Notification of Claim Only - Tick if you DO NOT know the value of claim

Complete Qualified Claim - Tick if you know the value and have supporting documents

Consignment number

Consignment number is invalid. Check consignment number and try again

Please tick the relevant: Damage Shortage Consignment Lost

Please tick the relevant: Under 500 500 and over

Please note Insurance is in accordance with RHA Conditions of Carriage 2009 at £10,000.00 per tonne

ACD 78 GOODS IN TRANSIT, CLAIM FORM (Issue 2)

DO NOT dispose of any goods unless you have authorisation from the insurers or Clarke Transport first.