Us Postal Service (Usps) Claim Form For Lost Or Damaged Packages - Parcel Insurance Plan

ADVERTISEMENT

POLICY #15735
US POSTAL SERVICE (USPS) CLAIM FORM
For Lost or Damaged Packages - Revised 05/13S
INSTRUCTIONS:
Send this claim form PLUS items 2 & 3.
1.
Complete and sign this claim form. Your signature is required for processing.
Mail:
Parcel Insurance Plan
2.
Attach a copy of your original invoice billing your customer for this shipment.
PO Box 66708
3.
Attach a copy of an email or signed letter from the package recipient advising you
St. Louis MO 63166-6708
of the loss or damage.
Fax:
314-692-7598
4.
Submit this claim form WITH ITEMS 2 & 3 above using the information to the right.
Email:
Important Notes:
1.
You must wait 30 days after the shipment date to submit a claim for a LOST package. Claims for DAMAGED packages can be
submitted at any time. All claims must be submitted within 180 days of the shipment date.
2. The package recipient should hold damaged items in the event they are requested during claims processing. FAILURE TO
RETAIN DAMAGED PROPERTY COULD AFFECT FINAL SETTLEMENT OF THE CLAIM.
3. Warning: Any fraudulent claims will make the shipper and/or package recipient liable for prosecution for mail fraud under the
Federal Criminal Code.
4. Call PIP directly with questions or if PIP has not responded to your claim within 3 weeks of filing at 800-325-7390 (ext 311).
CLAIM INFORMATION
Package Recipient’s Name: ____________________________________________
Shipment Date:_________________
Tracking/Confirmation #:________________________________________________
Number of Packages: [ ] LOST [ ] DAMAGED [ ] SHORTAGE
Description of Items: _____________________________________________________________________________
Amount of claim (invoice or repair cost excluding shipping fees)
$
Less amount paid by USPS, if any
$
Less salvage value of DAMAGED goods (this does not apply if package is LOST)
$
Balance to be paid by PIP
$
Shipper’s Contact Information
Shipper’s Name: ___________________________
check to attention of: ________________________________
Send
Shipper’s Mailing Address: __________________________________________________________________________
Telephone: ________________________ Fax:
Email Address: ____________________________________________________
FOR PIP USE ONLY
I certify that the above statements are correct.
AMOUNT: $_______________________
Signature _________________________________________
DATE: _________ BY:_____________

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Life
Go