Form is fillable. Type in the information by tabbing through the fields, then FAX or mail.

STANDARD FORM FOR ABF U-PACK®

PRESENTATION OF LOSS AND DAMAGE CLAIM
Want a faster response? Use the on-line Loss & Damage Claims, Filing tool to submit the claim electronically.

11-18-2022
Mail To: OR Fax to: (Date)
ABF Freight System, Inc. 479-785-8800
Cargo Claims & Prevention 214321685
Post Office Box 10048 (DO NOT MAIL
(Carrier’s Freight Bill Number)
Fort Smith, AR 72917-0048 ORIGINALS IF
CLAIM IS FAXED)
CRN 5532112632G
Phone: 479-785-8741 (Quote ID Number)
cargoclaims@abf.com

This claim is for: ✔ Damage Loss

DETAILED STATEMENT SHOWING HOW AMOUNT CLAIMED IS DETERMINED

(Number and description of articles, nature and extent of loss or damage, amount of claim, etc.)
Weight Amount

2 Washing machines 40 $1,000.00

Speaker Tower 120 $900.00

Bedroom Suit: All bed frame glass trim busted 350 $850.00

2 tables 200 $750.00

Mirror 250 $500.00

2 Dressers 750 $900.00

TOTAL AMOUNT CLAIMED $4,900.00

Was the bulkhead intact at the time of delivery? ✔ Yes
No If not, explain below.
Why do you believe ABF is responsible for this loss or damage? Yes

Additional Comments: My husband and I, wanted to completely secure our properties in the shipment trailer but
we were not allowed by ABF workers in Smith station Alabama. We were told that somebody will be taking care of it and secure

Customer Contact Section

Luz M Karakozian
(Name)
PO Box 7014, Caguas, PR. 00726
(Street Address or Post Office Box) (City, State, Zip)

(Phone) (Fax) (Email Address)

7064618577 karakozian61@gmail.com

ABF’s goal is to conclude all claims within 30 days of receipt at its corporate offices in Fort Smith, Arkansas.

Unless additional coverage was requested, cargo liability is subject to Section 4 of the U-Pack contract. This section
provides a maximum liability of .10 cents per lb per piece for the damage or loss caused by ABF’S negligence. In the
event of trailer fire, vehicle collision, vehicle overturn or complete trailer theft the coverage is $3.00 per lb per piece up to
TM
a maximum of $60,000 per trailer ($7,500 for customers using a ReloCube or .50 cents per lb per piece up to a
maximum of $10,000 per trailer for customers shipping to/from Mexico).