Claim Form - Salzgitter
Claim Form - Salzgitter
Claim Form - Salzgitter
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CLAIM DESCRIPTION<br />
SIZE<br />
MATERIAL I.D. (COIL#, PLATE#, ETC.)<br />
QUANTITY<br />
1<br />
2<br />
3<br />
4<br />
5<br />
6<br />
7<br />
8<br />
9<br />
10<br />
REMARKS/DAMAGE CONDITION:<br />
ADDITIONAL COSTS<br />
MATERIAL PROCESSING FEE $<br />
ADDITIONAL HANDLING FEE $<br />
STORAGE FEE<br />
$<br />
OTHERS:<br />
$<br />
$<br />
TOTAL $<br />
-<br />
ARE THE FOLLOWING ATTACHED?<br />
SURVEY REPORT YES NO<br />
PICTURES YES NO<br />
COPY OF DEBIT NOTE YES NO<br />
Rev.120106<br />
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