Claim DetailsTransit Claim For(Required) Visible Rail Damage Hidden Rail Damage (Must include photo of header/wrapper with no damage) Visible Truck Damage Hidden Truck Damage (Must include photo of header/wrapper with no damage) Date Shipment Received:(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Customer Claim #:(Required) Customer InformationCustomer:(Required) Contact Person:(Required) Phone:(Required)Email:(Required) PICK UP INFORMATION: We hold the right to pick up any/all paper unless otherwise noted. You will receive a disposition notification when the claim is processed.Product Location :(Required) Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands FOUND IN BILL OF LADING HiddenCarrier Name: HiddenVehicle Number: HiddenShipment Number: HiddenDelivery Number: IF DIFFERENT FROM ABOVEHiddenCustomer HiddenAddress: Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands HiddenContact Person: HiddenPhone:HiddenEmail: FOR DAMAGE NOT FOUND AT TIME OF DELIVERY OR HIDDEN DAMAGE- If you find damage after the time of delivery and/or was hidden you will still need to submit a claim online and we need you to take pictures of the damaged rolls (trailer if available) and to notify the carrier via email or fax right away. We will need a copy of the notification to the carrier and for you to let us know the damage was not found at the time of delivery. Industry standard is that you have 15 days truck and 24 hours rail from the delivery date to notify the carrier of the transit damages but there may be reasonable consideration in these circumstances. *If you have any issues of who to contact, please let us know and we will assist.Claim DocumentsSigned BOL (Driver Signature REQUIRED and damaged must be noted)(Required) Drop files here or Select files Max. file size: 5 MB, Max. files: 5. If the number of files is more than allowed limit kindly email Claims Team with all the relevant documentsSigned BOL (Driver Signature REQUIRED and damaged must be noted) Drop files here or Select files Max. file size: 5 MB, Max. files: 5. If the number of files is more than allowed limit kindly email Claims Team with all the relevant documentsHiddenNotice to Carrier (fax/email) of intent for file claim within 15 days of delivery Drop files here or Select files Max. file size: 50 MB, Max. files: 10. HiddenNotice to Carrier (fax/email) of intent for file claim within 15 days of delivery Drop files here or Select files Max. file size: 50 MB, Max. files: 10. Photographs of damaged product (Inside and Outside of Trailer. Capture roll labels as well)(Required) Drop files here or Select files Max. file size: 5 MB, Max. files: 5. If the number of files is more than allowed limit kindly email Claims Team with all the relevant documentsPhotographs of damaged product (Inside and Outside of Trailer. Capture roll labels as well) Drop files here or Select files Max. file size: 5 MB, Max. files: 2. If the number of files is more than allowed limit kindly email Claims Team with all the relevant documentsHiddenDamage Inspection Worksheet (Noted with the location in trailer that the damage rolls was found)(Required) Drop files here or Select files Max. file size: 50 MB, Max. files: 10. HiddenDid Carrier Sign and Acknowledge Damages Claimed at the Time of Drop Off Yes No No - Carrier Waived Rights to Inspect Rail Inspection or Rail Waiver(Required) Drop files here or Select files Max. file size: 5 MB, Max. files: 3. If the number of files is more than allowed limit kindly email Claims Team with all the relevant documentsRail Inspection or Rail Waiver Drop files here or Select files Max. file size: 5 MB, Max. files: 3. If the number of files is more than allowed limit kindly email Claims Team with all the relevant documentsHiddenDamage Inspection Worksheet (Noted with the location in trailer that the damage rolls was found)(Required) Drop files here or Select files Max. file size: 5 MB, Max. files: 3. Notice to Carrier (fax/email) of intent for file claim within 24 Hours of delivery(Required) Drop files here or Select files Max. file size: 5 MB, Max. files: 2. If the number of files is more than allowed limit kindly email Claims Team with all the relevant documentsNotice to Carrier (fax/email) of intent for file claim within 24 Hours of delivery Drop files here or Select files Max. file size: 5 MB, Max. files: 2. If the number of files is more than allowed limit kindly email Claims Team with all the relevant documentsDamage Product InformationList the Following for Each Damaged Roll(Required)Roll IDDamaged Weight (LBS)Type of DamageReject Full Roll (Y/N) Add RemoveHiddenKindly download the Damage Inspection Worksheet and upload below with details filled in(Required)Kindly download the Damage Inspection Worksheet and upload below with details filled in Drop files here or Select files Max. file size: 50 MB, Max. files: 10. Requested Action for Claim(Required)DeclarationI hereby give and assign to ND Paper, herein-after called Assignee, all right, title, and interest which it has or may have in any claim against the transportation company(ies) for recovery of money or other redress on account of loss of or damage to the shipment(s) described above. Assignor does hereby give unto said Assignee full and complete authority to settle Assignor's claim and to receive payment in settlement of the aforesaid claim. Assignor agrees to supply whatever information or documentation, and cooperate to whatever extent, deemed necessary by Assignee to pursue and secure its claim against such transportation company(ies).(Required) I agreeI hereby give and assign to ND Paper, herein-after called Assignee, all right, title, and interest which it has or may have in any claim against the transportation company(ies) for recovery of money or other redress on account of loss of or damage to the shipment(s) described above. Assignor does hereby give unto said Assignee full and complete authority to settle Assignor's claim and to receive payment in settlement of the aforesaid claim. Assignor agrees to supply whatever information or documentation, and cooperate to whatever extent, deemed necessary by Assignee to pursue and secure its claim against such transportation company(ies).Submitted By(Required) Email ID(Required) Phone CAPTCHAIf you encounter any problem during submission, please email Claims Team with documents
