J&P Hall Express
PO Box 45098
Atlanta, GA 30320
Phone # 404-762-5063
Fax # 404-762-9005

Form for Presentation of Loss and Damage Claims

Claimant ____________________________________    Date Claim Filed __________________________________
Address ____________________________________    Your Reference Number ____________________________
              ____________________________________    Email Address ____________________________________
Claim Amount $ _________________________    is made against J&P Hall Express
by _
________________________ for Loss or Damage.
Name of Shipper _______________________________    Address _______________________________________
Name of Consignee _____________________________    Address _______________________________________
Bill of Lading Number ____________________________    Date of Bill of Lading _____________________________
J&P Hall Express Bill Number (Required) _____________________________    Dated ________________________
STATEMENT OF LOSS OR DAMAGE and number and description of articles, nature and extent of loss or damage,
item number and invoice price of article, amount of claim, etc., and disposition of salvage, if any.

______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
THIS MERCHANDICE CHECKING SHORT FOR WHICH THIS CLAIM HAS BEEN FILED HAS
NEVER BEEN RECIEVED FROM ANY SOURCE.


THIS CLAIM IS FILED BY THE OWNER OF THE MERCHANDISE WHO HAS LEGAL RIGHT TO
COLLECT FOR THE LOSS OR DAMAGE THAT HAS OCCURRED TO THE SHIPMENT IN QUESTION.


THE FOLLOWING DOCUMENTS ARE TO BE SUBMITTED IN SUPPORT OF THIS CLAIM:
1) Original Bill of Lading
2) Original paid Freight Bill.
3) Original invoice: Photostat or certified copy from vendor.
4) Copy of all invoices for replacement parts, material and labor incurred in repairs if applicable to claim.
ALL CLAIMS MUST BE FILED WITHIN 30 DAYS OF DATE OF DELIVERY. CARRIER HAS 60 DAYS
IN WHICH TO CONCLUDE FROM DATE CLAIM IS RECEIVED. YOU MUST RETIAN ALL SALVAGE
ON DAMAGE CLAIMS UNTIL DISPOSITION OF THE CLAIM IS KNOW.


The foregoing statement of facts is hereby certified to be correct:

Signature of Claimant: _________________________________________________________________________