Loss and Damage Claims Form - J&P Hall Express

Claim Form Instructions:

All claims for Loss/Damage must be filed with this carrier within thirty (30) days after delivery date.
In cases of Concealed Damage, J&P Hall Express must be notified in writing within fourteen (14) days of delivery or the claim will likely be declined.
Be sure to attach a letter of explanation if there are any Special Circumstances we should know about.
Please provide a copy of the Signed Delivery Receipt, Original Invoice, Invoices for repairs or replacements, and Pictures (if available) when filing the claim. Pictures can be sent via mail or can be emailed to [email protected]
In no case will this carrier accept responsibility for Consequential Damages or Special Damages beyond the value of the goods that are subject to the claim.
Prior to any settlement, all freight charges must be paid in full. Include any applicable freight charges in your claim presentation.
If you have any questions regarding your claim, you may contact Tammy Martin at 404-762-5063. Mail or fax communication should be directed to:

J&P Hall Express
Attn: Claims Department
309 Cash Memorial Blvd
Forest Park, GA 30297
Fax: 404-762-9005

Claimant
Name of Claimant*
Date Claim Filed*
Date Format: MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State ZIP Code
Your Reference Number
Email*
Enter Email Confirm Email
Claim Amount*
Amount of claim being made against J&P Hall Express for loss or damage.
Shipper
Name of Shipper*
Address*
Street Address Address Line 2 City State ZIP Code
Consignee
Name of Consignee*
Address*
Street Address Address Line 2 City State ZIP Code
Bill of Lading Number*
Date of Bill of Lading*
Date Format: MM slash DD slash YYYY
J&P Hall Express Bill Number*
Dated*
Date Format: MM slash DD slash YYYY
STATEMENT OF LOSS OR DAMAGE and number and description of articles, nature and extent of loss or damage, item number and invoice price of article, amount of claim, etc., and disposition of salvage, if any.*
CONSENT*
- I AGREE THIS MERCHANDISE CHECKING SHORT FOR WHICH THIS CLAIM HAS BEEN FILED HAS NEVER BEEN RECEIVED FROM ANY SOURCE.
- I AGREE THIS CLAIM IS FILED BY THE OWNER OF THE MERCHANDISE WHO HAS LEGAL RIGHT TO COLLECT FOR THE LOSS OR DAMAGE THAT HAS OCCURRED TO THE SHIPMENT IN QUESTION.
THE FOLLOWING DOCUMENTS ARE TO BE SUBMITTED IN SUPPORT OF THIS CLAIM:
Original Bill of Lading*
Accepted file types: png, jpg, jpeg, pdf, doc, docx.
Original paid Freight Bill*
Accepted file types: png, jpg, jpeg, pdf, doc, docx.
Original invoice*
Accepted file types: png, jpg, jpeg, pdf, doc, docx.
Photostat or certified copy from vendor.
Copy of all invoices for replacement parts, material and labor incurred in repairs*
Drop files here or

Accepted file types: png, jpg, jpeg, pdf, doc, docx.
ALL CLAIMS MUST BE FILED WITHIN 30 DAYS OF DATE OF DELIVERY. CARRIER HAS 60 DAYS IN WHICH TO CONCLUDE FROM DATE CLAIM IS RECEIVED. YOU MUST RETAIN ALL SALVAGE ON DAMAGE CLAIMS UNTIL DISPOSITION OF THE CLAIM IS KNOW.
The foregoing statement of facts is hereby certified to be correct:
CAPTCHA
Electronic Signature*
First Name Last Name J&P Hall Account Number
When you complete this electronic signature and select "Submit" below, your claim will be submitted.

Claim Form Instructions:

Form for Presentation of Loss and Damage Claims

Claimant

Shipper

Consignee

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