Delta Cargo Loss or Damage Claim

A case number will be assigned within 5 business days as detailed in the instructions for completing claim. Investigations begin when all supporting documents are received. Claims are worked in the order received.

*Required

*Master Air Waybill Number:

*Master Air Waybill Date:

Customer's Reference Number:

*Claim Description

Quantity	Weight (Lbs/Kg)	Product Description	Reason for Claim	Claim Amount (USD)










Total Amount Claimed: 0

Contact Information

*Contact First Name:

*Contact Last Name:

Company Name:

Job Title:

*Address:

Address 2:

*City:

State/Province:

ZIP/Postal Code:

*Country:

*Phone Number:

*Email Address:

*Confirm Email Address:

Claim Notification Details

Written notifications of the specific damage being claimed must be provided to the Carrier within the proper time frame, by the party entitled to delivery as listed on our Air Waybill, for both Domestic and International claims or no action may be brought against the Carrier.

Loss/Damage Notification:

Name (first & last):

Title:

Initial Notification Location:

Initial Notification Date:

Notification Method:

Inspected by:

Inspected By Name:

Inspection Date:

Title:

Terms & Conditions

All claims should be submitted within the proper time limits. Delay submitting could preclude consideration of your claim. See Condition of Carriage for more detail.

* The foregoing statement of facts is hereby certified as correct

*Type Name Here
(electronic signature):

*Date:

06/19/2013

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