Insurance, Risk Management, Coverage. Redondo Beach, CA

To file a cargo claim with GSIS, please complete and submit the following form. To print a copy for your records, use your browser's print option before submitting the claim.

Please supply either an e-mail address or a phone number so that we may contact you.

Claimant Company Name*:

Contact Name*:

E-mail*:

Telephone*:

Fax Number*:

Address*:

City*:

State/Province*:

Zip/Postal Code*:

Country:

Article	Description of damage	Weight	Invoice Cost	Amt Claimed

Total Amount Claimed*:

* Required fields

In addition to the information stated above, the following documents will be submitted in support of my claim. Please E-mail, fax or mail these supporting documents as soon as possible. Make sure to include the claimant name, phone number, and contact number along with the documentation when you forward them.

Mailing Address: GSIS, 2512 Artesia Boulevard, Suite 250, Redondo Beach, CA. 90278 Fax: (310) 374-2431 Phone: (310) 910-4747

Email: claims@subrogatewayusa.com

Invoice To Support Insured Value

Document to support weights of damage/missing articles

Document to support repair cost

Copy of original insurance certificate, if applicable

Photos including a good overview of the item(s) damaged and the specific parts that are damaged

Bill of Lading or Shipping Documents.

The above should be all that is required, however additional information and documents may be requested after review of what you submit.

If claim is more than $2500. Confirm Contact Name, Company Name, Phone Number, E-mail and Address of where damage cargo is located for survey to be assigned.

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