Claim Form

Claim Information

Cargo Insurance is offered through Navigators Insurance Agency, Inc. and through PSI Global Logistics. Please ask us how to add extra protection to your cargo in the future for 100% coverage. PSI Global Logistics and its licensed affiliates reserve the right to change or cancel the program at any time. The Cargo Insurance Program is governed by the terms, conditions, limitations, and exclusions set forth in the applicable Cargo Insurance Policy. Not available in all jurisdictions. Last Updated June 29, 2016.

PSI Claim Number*

Shipping Date*

Date of Loss*

Insured Value ($)*

Nature of Loss*

Merchandise Description*

Comments/Explanation*

Included Applicable Documentation (check-off all that you have included)*

Check off all that you have included.

Tracking Number or B/L Number*

Transportation Carrier*

Total Number of Pages included in this Claim*

Number of pages in this claim including introductory page.

Name

This field is for validation purposes and should be left unchanged.

Claim Form

Cargo Insurance Official Request Claim Form

Step 1 of 3

Shipper Information

Consignee Information

Claim Information

COVID-19