Cargo Loss & Damage Claim Form

HOW TO FILE A CLAIM: Complete the claim for in its entirety as applicable. Hangar A will not entertain any claims unless filed in writing within the allotted time period as noted in either 1) the contract between parties or 2) Hangar A’s terms and conditions as posted at https://www.hangara.com/terms-of-use/. Submit the claim form along with the listed documents to the Hangar A 1 Mid America Plaza, 3rd Floor, Oakbrook Terrace, IL 60181. Attention: Claims Department

Once Hangar A has received the claim and all required documents, a claim number will be assigned. An acknowledgment of claim will be sent to claimant within 30 days in writing. Hangar A will investigate the claim and will notify claimant within 120 days after receipt of claim of the conclusion. If a claim cannot be closed within 120 days, Hangar A will notify claimant every 60 days of disposition of claim. Claims that are submitted with partial documents, or missing items required to conclude a claim, will result in denial of claim. All costs incurred with Hangar A to transport, handle or warehouse goods must be paid in full prior to a claim payment being made.

1. Hangar A Claim Number – Hangar A will assign a claim number to each separate claim.
2. Hangar A Tracking Number – for cargo shipments, the Hangar A shipment or tracking number is required.
3. Date Prepared – the date that the claim for is prepared by claimant – this is mandatory.
4. Claimant Company Name – the company name of the party filing the claim.
5. Claimant Address – enter the full street address of party filing claim
6. Claimant Address – enter city, State Zip code of party filing claim
7. Claimant Claim No. – The claim number assigned by the Claimant (if applicable).
8. Date of Loss/Damage – the actual date the loss or damage was discovered and reported.
9. Insured with Hangar A – If coverage was purchased from Hangar A to insure the goods, mark YES and the full amount of the policy. A copy of the COI will be required. If no insurance was purchased from Hangar A, mark NO.
10. Claim Loss Type
    1. Overage – check when if additional cargo package(s) received at time of delivery
    2. Damage – check if cargo has physical damage, such as forklift hole, torn, crushed, etc.
    3. Loss – Shortage – check when full packages or boxes /containers boxes are missing.
    4. Loss – Pilferage – check if packages/boxes were received; however, goods were missing form inside.
    5. Other – check if the claim is for something other than those listed, such as damage to facility
    6. Concealed damage – check when there are damage to goods within a box not previously seen. Maintain packing materials for this claim type.
11. City State Zip – final portion of address for claimant.
12. Contact name – contact at claimant that will have knowledge of the loss.
13. Phone number and email address – contact information for the claimant to communicate status.
14. Pay to Remit (if different form above) – if the claim is approved, this is the address where the credit memo or check will be submitted by Hangar A if different from the claimant address previously supplied.
15. Actual Shipper (if applicable) – the company name of the shipper where the goods originated. This may not be applicable for warehouse or ‘other’ claim types not involving transported shipments.
16. City, State & Zip – the address of the actual shipper where the goods originated.
17. Final Consignee (if applicable) – the address of the final delivery where Hangar A delivered the goods. This may not be applicable for warehouse or ‘other’ claim types not involving transported shipments.
18. City, State & Zip – address of the actual consignee where the goods were delivered.
19. Transport Type – mode of primary transport
    1. Air shipment – international – shipments being transported via air service to/from one country to another country.
       Air shipment – U.S. – shipments being transported via air service within the U.S. only.
    2. Ground shipment U.S. – shipments moving ground service within the U.S. only.
    3. Ground shipments Canada – shipments moving ground service within Canada only.
    4. Warehouse/Logistics – shipments handled in Hangar A warehousing.
    5. Other – other type of claim not listed such as damage to a facility.

19. Carrier Name – if applicable enter the carrier name if other than Hangar A.
20. # of Items – List the number of items lost or damaged individually by item.
21. Commodity Description/Part# ‐ the specific description of the items lost or damaged to include SKU numbers, Part numbers, etc.
22. Description of loss or damage – specific information on what type of loss was incurred such as a shortage, fork lift holes in carton, cartons torn etc.
23. Weight (specify KG/LB) – the weight of the lost or damaged goods only to be specified in Kilos (KG) or Poun.
24. Amount – the amount of the claim for the lost or damaged goods only. Specify currency type.
25. Description of additional costs requested – if additional funds are being claimed outside of the cost of goods, specify those here – such as repacking, inspection cost, etc. Additional costs may not be covered depending on coverage.
26. Freight Charges – in the event the cargo is insured with all risk, freight charges may potentially be recouped. Enter the freight charge prorated based on the lost or damaged cargo only. If no insurance was purchased freight charges are not protected and will not be paid.
27. Currency – the currency that the claim is being made in, generally USD$. Then entirety of the claim must be in one currency type only.
28. Total – the total amount of the entire claim to include the cargo, freight charges (if applicable) and any other costs requested.
29. Shortage – in the event the claim is for a shortage, supply the documents listed that will indicate a shortage.
30. Damage – in the event the claim is for damaged, supply the applicable documents listed. Damaged claims are paid on the damaged portion of the cargo only.
31. Enter location of cargo for inspection – This applies to high value shipments. Enter the location where the cargo is located for inspection purposes. Hangar A or our insurance company may want to send a surveyor to inspect the goods and packing material. Do not dispose of packing material and always keep cargo at the location where the loss was found. Moving the cargo to a different location prior to inspection could result in denial of claim as the damage may not be confirmed prior to secondary movement.

By submitting this form, Hagar A Acquisitions LLC Indemnity Agreement and the Hangar A Acquisitions LLC Terms and Conditions. In the absence of the Original Freight Bill and/or Original Bill of Lading, we agree to hold the above named carrier to whom this claim is presented and any other participating carrier, harmless and indemnified against any and all lawful claims which may be made against it or them arising out of the same shipment and will pay to the said carrier and any participating carrier(s), all losses, damages, costs, counsel fees or any other expenses which they or any of them may suffer or pay by reason of payment of our claim, herein described, without surrender of the Original Freight Bill or Bill of Lading, as such was not provided and/or cannot be located. Unless otherwise agreed upon in writing, claims are concluded based on Hangar A Terms and conditions as posted at https://www.hangara.com/terms-of-use/