This form is to be completed by the claimant and submitted to AAI/Spalding for all carrier claims.
Dealer Submitting Freight Claim Contact Information

Please ensure you complete the contact information section below, as this form does not automatically capture your name or email address unless you provide it.

Question Title

* 1. Dealer Name:

Question Title

* 2. Dealer Contact

Question Title

* 3. Dealer Email:

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