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?*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.Upload PhotoUpload PhotoDesired Outcome*
