ACL Transit Material Damage/Loss Form

1. Company Name *

2. Company GST *

3. Email *

4. Invoice number for this shipment *

5. Shipment date / LR Date *

6. Which carrier (transport company) handled the shipment? *

8. Have you secured your cargo with road transit insurance for this shipment? *

9. Where did the shipment originate? (Origin location) *

10. Shipment destination? (Destination location) *

11. Types of goods being shipped *

Select all that apply.

ABS

PC

PMMA

SMMA

GPPS

HIPS

POM

K-RESIN

LDPE

HDPE

UHMWPE

PVC

PP

SAN

WOOD PLASTIC

ACRYLIC SHEET

PET

12. Quantity of goods shipped *

14. Describe the damage or loss that occurred *

Include details about the condition of the packaging, the nature of the damage, or how the goods were lost.

15. What is the estimated value of the damaged or lost goods? *

18. Date of Submission *

19. Upload Damaged Bag Picture *

20. Loss of material or spillage of material inside the truck picture *

21. LR mentioning the total number of bags damaged or fewer bags delivered *

22. Upload other relevant documents