Claims help -
claims@clarketransport.co.uk
or call 0121 725 5138
Create Claim
Customer details
Company name
Enter Company Name
Name of person raising claim
Enter name of person raising claim
Contact number
Enter contact number
Email
Enter email address
Invalid email address
Please choose an option...
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 details
Consignment number
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Consignment number is invalid. Check consignment number and try again
Enter consignment number
Nature of potential claim
Please tick the relevant:
Damage
Shortage
Consignment Lost
Select one option
Please add relevant info here, if any
Estimate value of claim, tick one
Please tick the relevant:
Under 500
500 and over
Select one claim estimate
Signature (type name)
Enter your signature (print name)
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.
The form contains errors. Please check the form and try again.
Error sending claim.