Standard Form for Presentation of Loss and Damage Claim

Date: {{ date('m/d/Y', strtotime($claim->DATE)) }}
Your File Reference: ______________________
(Carrier’s Freight Bill Number): ______________________
Carrier’s: {{$claim->CARRIER}}
@php $claim_type = config('custom.claim_type'); $claim_status = config('custom.claim_status'); $claim_file_type = config('custom.claim_file_type'); @endphp

This claim is for: {{$claim_type[$claim->TYPE]}}

Shipper’s Name: {{$claim->SHIP_NAME}} Consignee’s Name: {{$claim->CONS_NAME}} Claim Status : {{$claim_status[$claim->STATUS]}}
Pay Date: {{ !empty($claim->PAY_DATE) && $claim->PAY_DATE != '0000-00-00' ? date('m/d/Y', strtotime($claim->PAY_DATE)) : ''}} Delivery Date: {{!empty($claim->DEL_DATE) && $claim->DEL_DATE != '0000-00-00 00:00:00' ? date('m/d/Y H:i:s', strtotime($claim->DEL_DATE)) : ''}} Date of Bill of Lading: {{!empty($claim->BOL_DATE) && $claim->BOL_DATE != '0000-00-00 00:00:00' ? date('m/d/Y H:i:s', strtotime($claim->BOL_DATE)) : ''}}
Claim Status : {{$claim_status[$claim->STATUS]}} Delivery Carrier: {{$claim->DEL_CARRIER}} Pay Amount: {{$claim->PAY_AMOUNT}}
Description: {{$claim->DESCRIPTON}} Shipper Address: {{$claim->SHIP_ADD}} Consignee Address: {{$claim->CONS_ADD}}
Pro Number: {{$claim->PRO_NUM}} Claim Value: {{$claim->VALUE}}

DETAILED STATEMENT SHOWING HOW AMOUNT CLAIMED IS DETERMINED
(Number and description of articles, nature and extent of loss or damage, invoice price of articles, amount of claims, etc.)
(ALL DISCOUNTS AND ALLOWANCES MUST BE SHOWN.)

The following documents are submitted in support of this claim:

@php $count = 0; @endphp @foreach($claimDocs as $claimDoc) @php $count++; @endphp @if($count % 2 == 0) {{-- Close row after 3 items and start new row --}} @endif @endforeach
{{ strtoupper($claim_file_type[$claimDoc->file_type] )}}
Your Company Name: _____ Please add any comments in the space below:
Street Address or Post Office Box _______
City, State, Zip :______
Your Name:______
Your Phone:______
Our Email Address:______

ABF’s goal is to conclude all claims within 30 days of receipt at its corporate offices in Fort Smith, Arkansas PRINT AND MAIL OR FAX CLAIM FORM (479-785-8800)