Damage Goods Claim
Date: _______ / _______ / _______
Shipment From Shipment To
Shipment By Shipment To
Order/Invoice # Date Shipped
Quantity Item Description Damage Description Price/Value
We hereby give you notice as the shipper and seller, that the goods listed above were found to be broken and/or damaged.
Compensation for the above damages is hereby claimed and demanded. Such claim does not limit our rights to further claims and
damages, in the event additional claims or damages are discovered on account of such delivery. Settlement with or release to you
does not waive any of our rights against any third party, nor does the same with any third party waive any rights against you. All rights
are reserved, cumulatively and not exclusively. Nothing contained herein shall alter any other documentation issued by us, unless
specifically so stated.