Claim - Centrimex

1.Customer's Email

2. Customer's Number

3.Customer's Name

4.File Number

5.Type of File
ShippingBy AirOther

6.Carrier

7.Destination

8.Transport Document Number

9.Container's Number

10.File Insured Via Centrimex
YesNo

11.Relevant Insurer

11.Other Insurance
Own Insurance CompanyUninsured

12.Relevant Insurer

13.Claimant's Quality
SenderRecipientOther

14.Goods Description

15.Goods Value

16.Currency

17.Subject of the Claim

18.Actual date of arrival of the goods

19.Estimated Amount of Injury

20.Currency of Injury

21.Description

22.Attachment types

23.Add your supporting documents
Please do not title your png files with a name beginning with the word "Image".

12.Claimant's Quality
SenderRecipientOther

13.Goods Description

14.Goods Value

15.Currency

16.Subject of the Claim

17.Actual date of arrival of the goods

18.Estimated Amount of Injury

19.Currency of Injury

20.Description

21.Attachment types

22. Add your supporting documents
Please do not title your png files with a name beginning with the word "Image".