货物索赔单（样本）

航空

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CARGO ALAIM FORM

10作3-38                                           编号：

年     月      日 货单号码                                  索赔人联系电话                                   索赔人姓名                                                                              索赔地址                                                                                       索赔事由                                                                                                                                                                                                                                                                                                                                                         运输事故签证编号                                                                        品    名                    件    数                      重    量                      始发站                      经停站                        目的站                        货物价值                    运  费                        赔偿金额                      发生事故的地点和时间                                                                     受理人                                                受益人                                                保险公司

                                                Serial NO.