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Claims
To: Watkins and Shepard Trucking
Attn: Claims Department
P.O. Box 5055
Helena, MT 59603
Reason for Claim:
Date:
Visual Damage (Noted on Proof of Delivery)
Claim Amount: $
Shortage (Noted on Proof of Delivery)
Reference #:
Concealed Damage (Found after delivery)
PRO#(preferred)
Concealed Damage (Found at time of delivery)
BOL# (optional)
Repair*
Claim Breakdown:
Item Number:
Item Description:
Item Cost:
Item#
Description
Cost
Total:
$0.00
Total:
$0.00
***
Send Following Documents with this claims form
***
Original Invoice:
Upload Documents
Fax Documents
Mail Documents
Proof of Delivery:
Repair Invoice:
Repair Authorization:
*
Click here
to fill out an online repair authorization request, or fax request to 1-406-532-6639, or call 1-800-889-3206.
Info required with repair request: PRO #, invoice cost, repair estimate, description of damage, return phone number, return fax number.
C
L
Name:
A
Company:
I
Address:
M
City/State/Zip:
A
Phone Number:
N
Fax:
T
EMail address:
If not filing electronically, mail this form and all corresponding documents to the above address, or fax to 1-406-532-6639