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CARGO CLAIM & REPORTING LOSS OR DAMAGE (INDONESIA)
NOTICE OF LOSS OR DAMAGE AND REQUEST FOR A JOINT SURVEY
NOTICE OF LOSS OR DAMAGE AND REQUEST FOR A JOINT SURVEY
Reporting Date
Applicant Name
Required
Applicant Company Name
Required
Address
Required
City
Required
Country
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Ascension Island
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Ceuta & Melilla
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo - Brazzaville
Congo - Kinshasa
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Diego Garcia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard & McDonald Islands
Honduras
Hong Kong SAR China
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR China
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Outlying Oceania
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Rwanda
Samoa
San Marino
São Tomé & Príncipe
Sark
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
St. Barthélemy
St. Helena
St. Kitts & Nevis
St. Lucia
St. Martin
St. Pierre & Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Sweden
Switzerland
Syria
Taiwan, China
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tristan da Cunha
Tunisia
Türkiye
Turkmenistan
Turks & Caicos Islands
Tuvalu
U.S. Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis & Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Required
Postal Code
Required
Applicant Phone Number
Required
Applicant Email Address
Required
Did Cargo Reach Destination?
Yes
No
BL Number
Required
Prefix: Without ONEY
Container Number(s) & Seal Number(s)
Required
Enter container no. followed by seal no., separated by a semicolon (;)
(e.g ONEXXXXXXXX;IDAXXXXXX)
You can also refer to the
sample file
to fill many Container Number(s) & Seal Number(s).
Upload Container
Upload
One file only.
5 KB limit.
Allowed types: csv.
Additional BL Number(s)(only for part lot BL's)
Separated with semi-colon (;)
Arrival Date
Delivery Date
Vessel Name
Required
Voyage
Required
Place of Receipt
Required
Port of Loading
Required
Port of Discharge
Required
Place of Delivery
Required
Date of Incident
Required
Place of Incident
Container Seal Condition
Select your Container Seal Condition
Intact
Not intact
Intact, but hinge or other part touched
Unknown
Required
Type of Cargo
Select your Type of Cargo
01-05 Animal & Animal Products
06-15 Vegetable Products
16-24 Foodstuffs
25-27 Mineral Products
28-38 Chemicals & Allied Industries
39-40 Plastics / Rubbers
41-43 Raw Hides, Skins, Leather, & Furs
44-49 Wood & Wood Products
50-63 Textiles
64-67 Footwear / Headgear
68-71 Stone / Glass
72-83 Metals
84-85 Machinery / Electrical
86-89 Transportation
90-97 Miscellaneous
Consolidated Cargo
Required
Description of Incident
Required
Description of Goods
Required
Shipper
Required
Cargo Receivers
Required
Initial Claim Currency
AED
AFN
ANG
AUD
BDT
BHD
BND
BOB
BRL
BSD
CAD
CHF
CLP
CNY
COP
CRC
CZK
DJF
DKK
DOP
DZD
EGP
ETB
EUR
FJD
GBP
GHC
GTQ
HKD
HNL
HUF
IDR
ILS
INR
JPY
KES
KRW
KWD
LKR
LRD
LYD
MAD
MOP
MXN
MYR
NGN
NIO
NOK
NZD
OMR
PAB
PEN
PGK
PHP
PKR
PLN
QAR
SAR
SBD
SEK
SGD
SRG
THB
TND
TOP
TRY
TWD
USD
VND
VUV
WST
XAF
XOF
ZAR
Initial Claim Amount
File Attachment
Add a new file
Upload
Maximum 20 files.
30 MB limit.
Allowed types: pdf doc docx xls xlsx jpg jpeg png.
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