MAV Inc.

Claims Department
17455 68th ave NE
Kenmore, WA 98028
www.mavinc.com

Date:

MAV REF# :

Freight Loss / Damage Presented By:*

Claimant:

Contact Name:

Address:

Claim Type: Shortage Damage

State:

City:

Zip:

Contact Email:

Phone:

Fax:

Claim is made on the shipment below:*

Shipper:

State:

City:

Zip:

Consignee:

State:

City:

Zip:

Details of claim to show how claim amount is determined

Pieces	Description	Weight (lbs)	Amount






TOTAL AMOUNT CLAIMED			$0.00

Location of Cargo

Salvage Value (if applicable)

Documents required in support of this claim:*

Upload your claim documents here.

Note: To expedite the handling of your claim, please include the above mentioned documents as your claim will not be processed until properly supported. Retain all damaged goods until the claim is concluded.

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MAV Inc.

Freight Loss / Damage Presented By:*

Claim is made on the shipment below:*

Details of claim to show how claim amount is determined

Documents required in support of this claim:*

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