Insurance Claim Form

Please complete the fields below and click the submit button. One of our Claims Department will contact you shortly.

Note: * Denotes a Required Field

ParcelDrop Order No.

Sender Details

Name/Company

Contact name

Telephone number

Fax

Sender Address

Address

Postcode

Addressee Details

Name/Company

Contact name

Telephone number

Fax

Addressee Address

Address

Post Code

Country

Any further details regarding the collection/delivery of the item

Nature of Claim

Loss Delay Partial Loss of Consignment Damage Missing Contents

In the event of damaged or missing contents only, where can the parcel be inspected?

Sender Addressee

Value Of Claim

Total cost price of goods excluding profit margin, VAT and postage	£
Postage paid	£
Additional fee paid enhanced compensation level	£

Parcel Details

Date of despatch (ddmmyyyy)

Description of contents

Description	No. of items	Value	eBay Items

Claim form submitted by

Name	*
Telephone Number	*
Email	*

CONDITIONS: I/We confirm that the above statements are true and I/We, the claimaint(s) are legally entitled to payment of any claim for the lost,damaged or delayed item(s) in accordance with the Terms and Conditions under which the item(s) was/were posted. I/We also undertake to advise Parceldrop.co.uk immediately if any of the items on this claim form are subsequently traced and reimburse Parceldrop.co.uk any monies paid in compensation for these items.

This form must be submitted to Parceldrop.co.uk within 14 days from the day of posting the parcel(s)

You will be contacted shortly after submitting this form for cost invoices of the contents, excluding any profit margins and VAT and your original certificate of posting or customer receipt.

Please note that all data supplied will be used to process your claim and, where neccessary, passed to other parties to substantiate your claim.