CONTACT DETAILSName*Email* Phone number*DETAILS OF CONSIGNMENTDazmac Booking Ref #*Goods Description*Vin# Hull# Serial # or Purchase Order#*Where Did The Incident Occur*Where Did The Incident Occur*Dazmac FacilityPortIn TransitUnsureType Of Complaint*Type Of Complaint*TheftDamagePoor ServiceDelayOtherDo you have a repair quote?Do you have a repair quote?YesNoUpload QuoteUpload QuoteWhat is the estimated repair cost?*Excess on marine transit insurance is $1000.00. Whilst DAZMAC may make a commercial decision to settle a claims under this regardless of fault, these cases must provide very clear evidence and information surrounding the circumstances. Please List The Items Stolen?*What is the estimated value?*Description of what's occurred* Did you book your shipment through Dazmac or through a 3rd party?*Did you book your shipment through Dazmac or through a 3rd party?Dazmac3rd partyPlease specify*Did you take out insurance with Dazmac?*Did you take out insurance with Dazmac?YesNoDid you have your own insurance?*Did you have your own insurance?YesNoPLEASE PROVIDE ANY SUPPORTING DOCUMENTATION OR PHOTOS TO ASSIST WITH YOUR COMPLAINT.To lodge a damage claim online you must have and attach the repair quote & photo of the damage.Upload Photo(s)Upload Photo(s) Drop files here or Upload Photo(s)**Upload Photo(s)* Drop files here or Desired Outcome*
