Welcome to GMG Transportation, Inc.

Claim Form

Claimant's Correspondence Address:

Make Check Payable to (Remit to):

Briefly Describe what the claim represents and how the claim amount was calculated.

If the claim involves damaged goods, please check one or more of the following:
	Damaged Goods can be repaired for approximately
	Damaged goods can be used "as is" for an allowance of
	Damaged goods are available for carrier pickup
	Damaged goods are unavailable (Please Explain)

To avoid delay in processing your claim please attach the appropriate documentation:
	Vendor's invoice showing price of lost or damaged goods
	Consignee's copy of the freight bill bearing loss or damage notations
	Itemized repair bill, If applicable.
	Inspection report, If available.

Attach File
	Click to see the type of files we support.

Claimant's Name

Date

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20 Brandywine Drive Deer Park NY 11729
(631) 254-5220 (800)986-4321
Logistics (888) 826-4321
logistics@gmgtransport.com
sales@gmgtransport.com
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