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I wish to claim compensation for the following goods which were lost/damaged while under the care of a Fastway Courier Franchisee.

Claim Details

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Note: All questions on this form must be clearly and fully answered otherwise the investigation and processing of this claim may be delayed until the required information is supplied.

The Courier shall be liable to the Consignor only in respect of damage to, destruction or loss of the Goods up to a total maximum of R1,000 (one thousand rands) per parcel, i.e. per bar-coded label.

Please refer to our published conditions of carriage.

Label number(s) you are claiming for, going to the same address?(Required)

Fastway Label number

Amount Claimed

Please enter in one label number per row, should you need to submit a request for multiple labels - click the "plus" icon on the right.

Type of claim?(Required)

Damage to the Goods - a written endorsement must be made by the receiver of the goods on the delivery Courier's Run Sheet at the time of receiving the goods. A formal claim must be received by the Courier in writing within 7 (seven) days of the receiver receiving delivery of the goods. Please return the damaged goods to your Fastway depot.

Non-delivery of the goods - a written claim must be made within 30 days from the date the Courier receives the goods from the Consignor. Any claim not made in writing and within the period stipulated shall be deemed to have been waived and shall lapse.

Details of loss/damage

Please note: Courier Cost is not claimable. The amount claimed must correspond with the invoice for the goods in question, requested further down in this form.

Describe the goods

Describe the goods shipped

Recipient

Delivery Address

Pickup Date

Who, at Fastway, did you report this loss / damage to?

When did you first make contact?

Sender Details

Company or Trading name

Sender Address

What is your Business Registration no?

Are you VAT Registered?

What is your VAT registration number

Have you claimed an input tax credit on the VAT amount applicable to the freight for the consignment?

Is the amount claimed less than 100% of the VAT applicable to the freight?

If yes, please specify the percentage claimed.

Please enter a number from 0 to 100.

Please specify the VAT amount claimed

Please note that the amount claimed must correspond with the invoice for the goods in question.

Bank Details

Bank

Branch Code

Account no:

Supporting Files

Please ensure the following documents are uploaded before you submit your claim:

Important Note: If the incorrect documents are uploaded your claim will be rejected and a new claim will have to be submitted.

Please upload a copy of supplier tax invoice(Required)

Drop files here or