Skip to content
About Us
About Us
History
Meet the Team
Technology
Quality Systems
Corporate Social Responsibility
FAQs
Careers
Careers
Drive4Evans
Locations
Request a Quote
Contact
About Us
About Us
History
Meet the Team
Technology
Quality Systems
Corporate Social Responsibility
FAQs
Careers
Careers
Drive4Evans
Locations
Request a Quote
Contact
Services
Warehousing
All Warehousing
Dedicated Warehousing
Detroit Foreign Trade Zone
Detroit Warehousing
Transportation
All Transportation
Alden Logistics
Evans Logistics
Detroit Drayage
Fulfillment
All Fulfillment
Detroit Fulfillment
Subscription Box Fulfillment
Value-added
Staffing
Industries
Automotive
All Automotive
Battery Logistics
Food & Beverage
Consumer Goods
Hazmat
Paper
Renewable Energy Logistics
3PL Insights
3PL Insights
Resources
Glossary
Services
Warehousing
All Warehousing
Dedicated Warehousing
Detroit Foreign Trade Zone
Detroit Warehousing
Transportation
All Transportation
Alden Logistics
Evans Logistics
Detroit Drayage
Fulfillment
All Fulfillment
Detroit Fulfillment
Subscription Box Fulfillment
Value-added
Staffing
Industries
Automotive
All Automotive
Battery Logistics
Food & Beverage
Consumer Goods
Hazmat
Paper
Renewable Energy Logistics
3PL Insights
3PL Insights
Resources
Glossary
Careers
Careers
Drive4Evans
Internships
3PL Insights
Locations
Request a Quote
Contact
Login
About
About Us
Meet the Team
History
Quality Systems
Technology
Corporate Social Responsibility
FAQs
Services
Warehousing
All Warehousing
Dedicated Warehousing
Detroit Foreign Trade Zone
Detroit Warehousing
Transportation
All Transportation
Alden Logistics
Evans Logistics
Fulfillment
All Fulfillment
Detroit Fulfillment
Subscription Box Fulfillment
Value-added
Staffing
Industries
Automotive
All Automotive
Battery Logistics
Food & Beverage
Consumer Goods
Hazmat
Paper
Renewable Energy Logistics
3PL Insights
3PL Insights
Resources
Careers
Careers
Drive4Evans
Internships
3PL Insights
Locations
Request a Quote
Contact
Login
About
About Us
Meet the Team
History
Quality Systems
Technology
Corporate Social Responsibility
FAQs
Services
Warehousing
All Warehousing
Dedicated Warehousing
Detroit Foreign Trade Zone
Detroit Warehousing
Transportation
All Transportation
Alden Logistics
Evans Logistics
Fulfillment
All Fulfillment
Detroit Fulfillment
Subscription Box Fulfillment
Value-added
Staffing
Industries
Automotive
All Automotive
Battery Logistics
Food & Beverage
Consumer Goods
Hazmat
Paper
Renewable Energy Logistics
3PL Insights
3PL Insights
Resources
Login
Search
Search
Evans Distribution Systems Warehouse Claim Form
This form is for customers to file a claim by providing information on the incident and supporting documentation for financial reimbursement.
URL
This field is for validation purposes and should be left unchanged.
Company Name
(Required)
Person Submitting the Claim
(Required)
First
Last
Submitter's Email Address
(Required)
Submitter's Phone Number (xxx) xxx-xxxx
(Required)
Claim Information
Please provide details and information relevant to the claim.
Claim Type (check all that apply)
(Required)
Damaged Item
Missing Item
Other
Other claim type
(Required)
Incident Date
(Required)
MM slash DD slash YYYY
Total Claim Amount (USD)
(Required)
Brief reason for the claim
(Required)
Product #1 Involved
Part Number / Description of Goods
(Required)
Quantity
(Required)
Unit of Measure (case, each, pallet, lb, etc.)
(Required)
Each
Case
Pallet
Pound
Other
Other Unit of Measure
(Required)
Cost per Unit (USD)*
(Required)
*Cost of goods should not include lost profits, delivered cost, transportation, etc.
Do you want to add another item?
(Required)
Yes
No
Product #2 Involved
Part Number / Description of Goods
(Required)
Quantity
(Required)
Unit of Measure (case, each, pallet, lb, etc.)
(Required)
Each
Case
Pallet
Pound
Other
Other Unit of Measure
(Required)
Cost per Unit (USD)*
(Required)
*Cost of goods should not include lost profits, delivered cost, transportation, etc.
Do you want to add another item?
(Required)
Yes
No
Product #3 Involved
Part Number / Description of Goods
(Required)
Quantity
(Required)
Unit of Measure (case, each, pallet, lb, etc.)
(Required)
Each
Case
Pallet
Pound
Other
Other Unit of Measure
(Required)
Cost per Unit (USD)*
(Required)
*Cost of goods should not include lost profits, delivered cost, transportation, etc.
Do you want to add another item?
(Required)
Yes
No
Product #4 Involved
Part Number / Description of Goods
(Required)
Quantity
(Required)
Unit of Measure (case, each, pallet, lb, etc.)
(Required)
Each
Case
Pallet
Pound
Other
Other Unit of Measure
(Required)
Cost per Unit (USD)*
(Required)
*Cost of goods should not include lost profits, delivered cost, transportation, etc.
Do you want to add another item?
(Required)
Yes
No
Product #5 Involved
Part Number / Description of Goods
(Required)
Quantity
(Required)
Unit of Measure (case, each, pallet, lb, etc.)
(Required)
Each
Case
Pallet
Pound
Other
Other Unit of Measure
(Required)
Cost per Unit (USD)*
(Required)
*Cost of goods should not include lost profits, delivered cost, transportation, etc.
Additional Information
Requested Resolution
Back-up documentation to support the cost per unit
(Required)
Drop files here or
Select files
Max. file size: 64 MB.
Upload Photos
Drop files here or
Select files
Max. file size: 64 MB.
Δ
