Fedex Claim Form – Fill Out and Use This PDF

Who can file a claim?

The sender, the recipient or a third party can file the claim.

How do I file a claim?

Follow the three easy steps listed below to file your claim.

Step 1: Choose one of the following options:

•Complete and submit a claim form online at fedexfreight.fedex.com/claim.jsp.

•Call customer service at 1.866.393.4585.

•Complete a claim form and e-mail, fax or mail it (see step 3).

Step 2: Gather the following documentation:

•Photocopy of FedEx air waybill, FedEx Ship Manager® printout, FedEx Ground Pick-Up Record or delivery receipt.

•All documentation related to the proof of value (copy of original invoice from vendor or supplier, copy

of retail invoice or receipt, final confirmation

screen if online order with proof of payment, itemized repair invoice or statement of non-repair, appraisals, expense statement, or any other applicable documentation).

•Serial number(s) of merchandise, if applicable.

•Inspection report, if applicable.

Step 3: E-mail, fax or mail the completed claim form with the

supporting documentation to:

file.claim@fedex.com Fax 1.877.229.4766

FedEx

Cargo Claims Dept. P.O. Box 256 Pittsburgh, PA 15230

If you fax your claim, you will receive a confirmation letter by return fax.

FedEx Freight Claim Form

Instructions and Frequently

Asked Questions (FAQs)

Read the following FAQs for answers on the claim resolution process.

When should I file my claim?

Claims for concealed loss and visible or concealed damage must be reported within 21 calendar days and all supporting documentation filed within 9 months of delivery date. Claims for non-delivery must be filed within 9 months of the committed delivery date. All claims will be resolved based on the merits of the claims investigation.

How long will the claim resolution process take? Most cases will normally be resolved in 5 to 7 business days after we receive your claim form and supporting claim

documentation, unless additional time for research is needed.

What should I do with the merchandise and shipment packaging?

Keep the merchandise and all original packaging, including

cartons and contents, until the claim resolution process is finished. It may be necessary to make the packaging available to FedEx for inspection.

Where can I find specific information about the claim resolution process?

For more detailed information, refer to the National Motor Freight Classification series and the FXF Rules Tariff series for exclusions of liability and additional limitations.

Can I get updates on the status of my claim?

If you use our online filing option at

fedexfreight.fedex.com/claim.jsp.

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1/09

Sender or Shipper’s Name / Contact

Company

Address

City	State / Province
Country	ZIP / Postal Code
Phone	Fax
E-Mail

Recipient’s or Consignee’s Name / Contact

Company

Address

City	State / Province
Country	ZIP / Postal Code
Phone	Fax
E-Mail

C.O.D.

For FedEx Express¨ and FedEx Ground¨ Only

Contents of shipment

Describe damage to outer packaging

Describe inner packaging

Describe damage to contents

Declared value	Declared value for customs
(The value declared on the		$
shipment when tendered to FedEx) $	(International shipments only)
Merchandise value	$
(Original purchase value and/or cost to repair)
FedEx pack & ship fee $	Freight charge $	Total claim / C.O.D. amount $
Customer remarks

Salvage

If your claim is Þled for damage, and mitigation through repair or allowance is not possible, please explain why and provide contact information for salvage pickup. Salvage should be held until investigation of the claim is complete.

Salvage Contact	Phone	Fax

Claimant Information

I accept that the foregoing statement of facts is hereby certiÞed as correct.

Signature (for fax or mail)

ClaimantÕs Name (please print)

ClaimantÕs Address

City

Country

E-Mail

Date

Internal Reference No.

Phone

State / Province

ZIP / Postal Code

Fax

E-mail, Fax or Mail

SUBMIT

Please return the completed form and required Proof of Value documentation (invoice and/or receipt) to:

E-mail: Þle.claim@fedex.com | Fax 1.877.229.4766 | FedEx Cargo Claims Dept. P.O. Box 256 Pittsburgh, PA 15230

31581PL 1/09