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Claim Form
TO: Sunbelt Furniture Express, Inc.
PO Box 487
Hickory, North Carolina 28603-0487
sbclaims@sbfx.com
or
claims1@sbfx.com
CLAIM MANAGER ph 828-485-4124
CLAIM ASST ph 828-485-4165
CLAIMS FAX # 828-466-2405
* Fields are required
Date
11/20/2008 7:25 PM
Your P.O Number
Sunbelt Freight Bill Number
Claim Type
- Select One -
Damage
Loss
In connection with the following described shipment
Shipper's Name*
Acknowledgement Number
Bill of Lading Date
Consignee's Name*
Fax Number*
Phone Number*
Contact Person*
Contact Email*
Style Number
Packaging Type
- Select One -
Cartoned
Wrapped
Item Description
Damage Description In Detail
Details of damage including
details of the packaging
materials and carton
Total Claim Amount
Is ORIGINAL carton or
wrapping available?
- Select One -
Yes
No
Can repairs be made locally?
- Select One -
Yes
No
Estimated Cost:
Can item be sold at discount?
- Select One -
Yes
No
Estimated Cost:
Is the item imported?
- Select One -
Yes
No
Where is the piece located?
- Select One -
Delivery Site
Customer Home
Upload documents and photos of damage in support of this claim
Copy of Bill of Lading
Copy of Paid Frieght Bill
Copy of Factory Invoice
Repair Estimate
Photos of Item Damage and Original Carton
Remit to:
Name:
Addr:
City, State Zip:
Completed By:
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SunBelt Furniture Xpress is subsidiary of Anderson Trucking Service, Inc.
