Claim Form

Cargo Insurance Official Request Claim Form

All requested information is required. Claims filed without all required information will result in an inability to be processed. In addition to this cover sheet, all applicable shipping information relating to this claim must also be submitted. Please fax or email this form along with such documentation to +1-713-589-4380. If you have any questions, please call +1-713-589-2925

Shipper 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.
Company Name*
Contact Name*
Phone*
Fax*

Consignee 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.
Company Name*
Contact Name*
Phone*
Fax

Claim Form

Cargo Insurance Official Request Claim Form

Step 1 of 3

Shipper Information

Consignee Information

Claim Information

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