Please accept this letter as our intent to claim on your company. When full details, such as the value of the shipment is available, the formal claim will be forwarded to you.


*All fields are mandatory

Date
To
State	Victoria New South Wales Queensland Australian Capital Territory Western Australia South Australia Northern Territory
Flight No
Origin
MAWB
HAWB
Pieces
Weight
Consignee
Irregularities
Reference No.
Name of Company Representative
Agent Name
Address