freight-form

AES Freight Claim Request Form

Date:

**Please complete this form and submit to AES within 24 hours of receiving damaged product.
**This form is used by AES to initiate the process of possible credit or replacement with the Carrier.
**Submission of this form is not a guarantee of credit or replacement of damaged items.
**AES is not liable or responsible for accepted freight damage that was not noted on the BOL at the
time of delivery

Dealer/Consignee Information:

Dealer Name

Account Number

Contact Person

Phone Number

Email

Order/Shipment Information:

Dealer Reference Number (PO)

AES Invoice or Sales Order #

Date of Delivery

Carrier Name

Carrier BOL Number

BOL Noted Damage

Yes No

Product Repairable/Sellable

Yes No

Product Refused

Yes No

Product Lost

Yes No

**Must include pictures of damage. (Example: Pallet, plastic wrap, product)
**Attach copy of signed BOL.

List Qty/Part Numbers Damaged:

Quantity

Part #

Description

*** Photos are required for any visible damage/defects. Please upload your photos. ***

Select a file

Reship Product

Yes No

**Please complete this form and submit to AES within 24 hours of receiving damaged product.
**This form is used by AES to initiate the process of possible credit or replacement with the Carrier.
**Submission of this form is not a guarantee of credit or replacement of damaged items.
**AES is not liable or responsible for accepted freight damage that was not noted on the BOL at the
time of delivery.

Questions? Call (800) 682-9722

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