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First Name
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Last Name
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Email Address
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Order Id
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Received Date
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Address
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City
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State
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Zip Code
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Claim Details
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Freight Refused?
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Is Freight Repairable?
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Damage noted on delivery receipt?
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Is packaging in original condition?
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Did it arrive on a pallet?
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Picture of Damage 1
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Picture of Damage 2
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Picture of damage 3
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Picture of damage 4
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