FOOTHILLS TRUCKING CO., INC.
PO BOX 192 CONOVER NC 28613
828-322-1380 ext. 1219 Fax: 828-322-3085
EMAIL ADDRESS:
nataliar@foothillstrucking.com
**WORKSHEET FOR FREIGHT CLAIM-PICTURES WILL BE REQUIRED OF PIECE AND CARTON EMAILED
TO ADDRESS PROVIDED ABOVE**
DATE: _______________________
PRO#_________________________ ACK#_______________________________
CONSIGNEE NAME: ____________________________________________________
ADDRESS: ___________________________________________________________
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PHONE:______________________ FAX:_________________________
CONTACT NAME: ___________________________EMAIL:____________________________
MFR:___________________________________
DATE OF DELIVERY:__________________
WAS DAMAGE NOTED AT DELIVERY:__________________ carton or Wrap______________
MANUFACTURER PROBLEM:________
CAN IT BE REPAIRED LOCALLY:____________ IF SO, COST$_________
(INCLUDE COPY OF REPAIR INVOICE)
HAS MERCHANDISE BEEN MOVED TO ANOTHER LOCATION?___________
STYLE #:________________________ DESC: ________________________________
(INCLUDE COPY OF ORIGINAL INVOICE)
GIVE COMPLETE DESCRIPTION OF DAMAGE INCLUDING SPECIFIC LOCATION & TYPE
OF DAMAGE & CARTON CONDITION__________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
SIGNATURE OF PERSON FILING CLAIM: ________________________________________________