Freight Cover Claim Form

Claim Details
Registered for GST purposes
Yes  No
Yes  No
Consignment Details
Describe in detail the item(s) and damage sustained
Yes  No
Yes  No
Yes  No
Yes  No
Location where the damaged freight is currently at:
In order for us to process the claim, it is Mandatory that you provide a Northline query number. Failure to provide this information will result in delays with the lodgment of your claim
Yes  No
EFT Details
* Indicates a mandatory field.