Initial Notice of Damage

Please complete all fields below. After you click submit you will see
a confirmation screen with your unique claim id and insurers will be automatically notified.
You should receive an acknowledgement from Rekerdres & Sons within a day
If any problems or questions please email: rsclaims@reksons.com

Your Details

Your Name

Your Email

Your Reference Number

Your Phone

Your Company Name

Your Role

Policyholder

Shipper's Agent

CIF Certificate Holder

Shipment Certificate Number

Supplier Company Name

Supplier Contact Name

The Company that is ultimately seeking indemnity under the Policy

Claimant Company Name

Damage Details

Damage was initially discovered

During On-going Storage

During Shipment/Upon Arrival at Warehouse

Date of Shipment

Date of Delivery

Commodity that was affected

Quantity

Quantity Units

The extent of damage to the goods

Total

Partial

Rough estimate of the percentage of units affected?

Percentage Damaged, e.g. 25

What peril best describes what affected the goods?

Type of Loss

Please provide a brief description of the Loss; when and how it was discovered

Description of Loss

How are the goods being protected from further damage?

Loss Mitigation Method

Can the damaged goods be

If loss occurred during shipment

Vessel Name

Name of Carrier

Bill of Lading Number

Were Seals intact upon arrival?

Were seals intact?

Yes

Container Numbers

Location of Damaged Goods

Damaged Goods Located At

Pre-Shipment Warehouse

Carrier's Custody

Destination Warehouse

Address

City

State/Province/Region

Country

Contact at Location of Damaged Goods

Contact

Phone

Contact Company Name

Has Surveyor Been Assigned?

Yes

Surveyor Info

Each attachment has a maximum size of 15Mb and in total they cannot be larger 25Mb. You will not be able to submit your Initial Notice of Damage if you exceed either of these limits.

Attachments

	Filename	Type