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Get Standard Form For Presentation Of Loss And Damage Claims

NAME OF CLAIMANT STREET ADDRESS SIGNATURE OF CLAIMANT FORM NO. 1-FS-C 3-PLY REV. 4/94 WHEN THE ORIGINAL BILL OF LADING AND/OR FREIGHT BILL IS NOT SUBMITTED OR IS NOT AVAILABLE FOR SUBMISSION BUT COPIES OF THE ORIGINAL ARE SUBMITTED IN SUPPORT OF THE CLAIM DESCRIBED ABOVE THE CLAIMANT AGREES TO INDEMNIFY AND HOLD HARMLESS THE CARRIER RECEIVING THIS CLAIM NAMED ABOVE AND ANY PARTICIPATING CARRIERS AND WILL PAY TO THE CARRIER OR ANY PARTICIPATING CA.

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