To: Schneider
Terminal Operations Claims
PO Box 2550
Green Bay, WI 54306

Claim Breakdown:

Item Number: Item Description: Item Cost:
*** Send Following Documents with this claims form ***
Original Invoice:  

Proof of Delivery:  
Repair Invoice:  
Repair Authorization:  
* Click here to fill out an online repair authorization request, or fax request to 1-920-403-8532, or call 1-920-592-7348.
 Info required with repair request:  PRO #, invoice cost, repair estimate, description of damage, return phone number, return fax number.
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 1-920-403-8532