Submit A Claim

"*" indicates required fields

EDGE-2-EDGE LOGISTICS load #

Reference #

Date of Claim (MM/DD/YYYY)*

Claim Type*

Claim Submitted By

Company Name*

Address (Line 1)*

First Name*

Line 2

Last Name*

City

State

Email*

Phone Number*

Claim Payable To

Same as Claimant*

Yes

Company Name

Address (Line 1)

First Name

Line 2

Last Name

City

State

Phone Number

Zip Code

Country

Brief Description of Claim

Claim Amount & How It's Calculated*

Number of Pieces*

Weight*

Pickup Date (MM/DD/YYYY)*

Delivery Date (MM/DD/YYYY)*

Shipper Name*

Receiver Name*

Shipper Address (Line 1)*

Receiver Address (line 1)

Line 2

City

State

City

State

Zip Code

Country

Zip Code

Country

Upload Documents

IMPORTANT NOTE: You will need to upload following documents in each individual upload sections as marked. Each section will only allow 1 file to be attached.

Bill of Lading

Delivery Receipt

Max. file size: 100 MB.

Invoice Copy of ALL Items on Shipment (Invoice MUST be original sales invoice and include date of purchase, invoice number, and details of items on shipment)

Max. file size: 100 MB.

Inspection Report

Max. file size: 100 MB.

Photo Uploads

Photo #1 of item(s) with clear freight damage

Max. file size: 100 MB.

Photo #2 of item(s) with clear freight damage

Max. file size: 100 MB.

Photo #3 of item(s) with clear freight damage

Max. file size: 100 MB.

Photo #4 of item(s) with clear freight damage

Max. file size: 100 MB.

Submit a Claim

Claim Submitted By

Claim Payable To

Brief Description of Claim

Upload Documents

Photo Uploads

Other Documents related to the load and claim

After clicking the submit button it may take several seconds to upload all files. Please do not leave the page until you see the confirmation message that your form was submitted successfully.