LETTER OF INTENT TO CLAIM
ATTENTION: CLAIMS DEPT
7890 EXPRESS STREET
CLAIMANT'S INTERNAL REF. #
E-MAIL: [email protected]
(Optional - for Claimant's Use Only)
CITY / PROV.
MAILING ADDRESS: (If different from above)
I am making a claim for the amount of $
which represents the value of the goods
shipped on (Date:)
on Loomis Express Waybill #
The shipment was (choose one)
FROM BOX / ENV.
The goods were shipped:
Claim may not be considered if applicable items are not received.
Copy of the ORIGINAL PURCHASE INVOICE (not your selling invoice); or the manufacturing cost, or
percent markup to substantiat