Your Details

Company Name

Name

Reference

Address

Country

Telephone

Cargo Location

Same As Above

Address

Country

Telephone

Policy/Certificate Number

Description of Cargo (No need to complete if you are submitting the Commercial Invoice as part of this claim notification process)

Description of Loss/Damage

Estimated Claim Value

Vessel/Conveyance Name (No need to complete if you are submitting the Bill of Lading as part of this claim notification process)

Have Carriers Been Held Responsible?

Additional Comments

To claim under a Marine Cargo Insurance Policy, the following are the basic documents required: