Oak Harbor Freight Lines, Inc.

* OHFL Freight Bill:

Go!

Claimant Reference Number:

* Claim is for:

Visual Damage Shortage (Noted on Delivery Receipt) Concealed Damage/Shortage (Discovered after Delivery)

* Name:

* Company Name:

* Street Address:

* City:

* State, * Zip:

* Email Address:

* Phone Number:

REMIT TO (if different than claimant):

Company Name:

Mailing Address:

City:

State, Zip:

Applicable Freight Charges:

Please be aware that with any claim files, a copy of the ORIGINAL VENDOR INVOICE IS REQUIRED for processing. Any claim received without this document is subject to denial based on NMFC Item #300110. For claims involving repair, a copy of the detailed repair invoice, which includes a breakdown and the cost of parts utilized, is required in addition to the original vendor invoice. In general, receipt of your claim will be acknowledged in writing within 15 days. Please allow 30-120 days for claims processing and resolution. You will be contacted by a claim representative if additional information is needed. Important: Damaged freight to include original packaging must be retained until resolution of the claim for possible salvage and/or inspection purposes! (Unless items are subject to repair).

* Invoice File (Required):

Please attach any other files that support your claim, such as a Packing List, Repair Parts Invoice, or Photos. Please note, only JPG, JPEG, GIF, PNG, PDF, MSG, DOC(X), and XLS(X) files are allowed. MAXIMUM UPLOAD FILE SIZE IS 3MB

Additional Files (Optional):

* Contact Name:

* Email Address:

* Phone Number:

* Street Address:

* City:

* State, * Zip:

TERMS OF ACCEPTANCE: I, the requestor of this claims request form, warrant the truthfulness of the information provided in this request.

* Electronic Signature:

* I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

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For help with this form, please contact the claims department at (253) 288-8300 or Claims@oakh.com.

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