NCII New Claim

Please complete all fields with detailed information and check for accuracy.

Hidden

Insured's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Hidden

Policy Begin Date

Hidden

Policy End Date

Hidden

Deductible

Submitter Contact Information

Name(Required)

First Last

Email(Required)

Phone(Required)

Loss Details

NCII Customer(Required)

NCII Invoice or Reference No.(Required)

NCII Invoice Date(Required)

In UK Format

Type of Loss(Required)

Date of Loss(Required)

In UK Format

Type of Loss - Other

Brief Description of Package Contents(Required)

What happened to the shipment?(Required)

Package last scanned in which city?

Package last scanned on what date?

UK Format

How were the contents secured?(Required)

Insured Value(Required)

Loss Amount(Required)

Claim Amount(Required)

Policy Limit for This Type of Shipment(Required)

Policy Limits are detailed below.

Shipment Details

Shipping Company(Required)

Shipping Service(Required)

Tracking Number(Required)

Dispatch Date(Required)

UK Format

Expected Delivery Date(Required)

UK Format

Was shipment insured with Parcel Pro?(Required)

Yes

What was the insurance amount with Parcel Pro?(Required)

Has a claim been filed with UPS Parcel Pro?(Required)

Yes

What is the Parcel Pro Claim Reference?

Has UPS / Parcel Pro reimbursed you for the loss?(Required)

Yes

How much did UPS / Parcel Pro pay?

Shipper Details

Who actually dispatched the shipment?

Shipper Name(Required)

From which city?(Required)

From which state?(Required)

Full State Name

Intended Recipient Details

Intended Recipient Name(Required)

To which city?(Required)

To Which State?(Required)

Full State Name

Shipping Label Details

Shipper Name / Company(Required)

Recipient Name / Company(Required)

Shipper Address(Required)

Street Address Address Line 2 City State ZIP Code

Recipient Address(Required)

Street Address Address Line 2 City State ZIP Code

Additional Information

Upload Claim Documents(Required)

Drop files here or

Max. file size: 32 MB.

Customer Invoice Security Notes Invoice(s) for Package Contents Shipping Label Photos of Shipment (if damaged/tampering) Shipping Carrier Claim Form Correspondence with Carrier Police Report (if applicable) GIA Certificate, Rolex Serial Number Details, etc. and Other Relevant Documentation

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