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6520 Powerline Road, Fort Lauderdale, FL 33309
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Freight Claim (damaged delivery) Form
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Freight Claim (damaged delivery) Form
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Business Name
*
Contact name
*
Phone
*
Date of order
*
Lotus Sales Order Number
*
Date of Delivery
*
Freight Company
Pro Number / Tracking Number
Notation of damage on freight company BOL
*
Select
NO
YES
Exception Notice Number (from Driver)
Type of Damage
*
Select
Visible
Concealed
Product
ACQUILEA BLU 24X48 MAT RECT
ACQUILEA BLU 24X48 POL RECT
ACQUILEA GRIGIO 24X48 MAT RECT
ACQUILEA GRIGIO 24X48 POL RECT
ACQUILEA ORO 24X48 MAT RECT
ACQUILEA ORO 24X48 POL RECT
AMSTEL BLANCO 30x30 MT RET INOUT
AMSTEL CEMENTO 30x30 MT RET INOUT
BAER CAFE 6x36 MATT
BAER GRIS 6x36 MATT
BELLEVUE GREY 12x24 MT INOUT
BELLEVUE GREY 24x24 MT RET INOUT
BELLEVUE IVORY 12x24 MT INOUT
BELLEVUE IVORY 24x24 MT RET INOUT
BELLEVUE WHITE 12x24 MT INOUT
BELLEVUE WHITE 24x24 MT RET INOUT
BIANCO COVELANO 12X24 NON-RET NAT
BIANCO COVELANO 12x24 RET POL
BIANCO COVELANO 36X36 RET NAT
BIANCO COVELANO 36X36 RET POL
BLAZE HAYA 9X47 RET MATT
BLAZE NATURAL 9X47 RET MATT
BLAZE NOGAL 9X47 RET MATT
BLAZE ROBLE 9X47 RET MATT
CALACATA GOLD 12X24 MAT RECT
CALACATA GOLD 12X24 POL RECT
CALACATA GOLD 24X48 MAT RECT
CALACATA GOLD 24X48 POL RECT
CALACATA WHITE 12X24 MAT RECT
CALACATA WHITE 12X24 POL RECT
CALACATA WHITE 24X48 MAT RECT
CALACATA WHITE 24X48 POL RECT
CALIOPE BEIGE 12x24 MATT IN/OUT
CALIOPE BEIGE 24x24 MATT RET IN/OUT
CALIOPE NATURAL 12x24 MATT IN/OUT
CALIOPE NATURAL 24x24 MATT RET IN/OUT
CALIOPE PEARL 12x24 MATT IN/OUT
CALIOPE PEARL 24x24 MATT RET IN/OUT
CALIOPE WHITE 12x24 MATT IN/OUT
CALIOPE WHITE 24x24 MATT RET IN/OUT
CIVIC BROWN 6X36 MATT
CIVIC BROWN 9X47 RET MATT
CIVIC CENERE 6X36 MATT
CIVIC CENERE 9X47 RET MATT
CIVIC ROBLE 6X36 MATT
CIVIC ROBLE 9X47 RET MATT
CIVIC WHITE 6X36 MATT
CIVIC WHITE 9X47 RET MATT
CRYSTAL WHITE 24X48 MAT RECT
CRYSTAL WHITE 24X48 POL RECT
CUPID CREAM 24x24 MT RET INOUT
CUPID CREAM 24x48 POL RET
CUPID PEARL 24x24 MT RET INOUT
DIAMOND GOLD 24x48 POL RECT
DIAMOND GOLD 30x30 MAT RECT
DOVER CAMEL 10X60 MAT RECT
DOVER COFFEE 10X60 MAT RECT
DOVER SAND 10X60 MAT RECT
DOVER SILVER 10X60 MAT RECT
DOVER WHITE 10X60 MAT RECT
EDEN ACERO 8x48 MATT
EDEN BIANCO 8x48 MATT
EDEN MIELE 8x48 MATT
EDEN NATURALE 8x48 MATT
ELEMENTI BEIGE 12x24 MT INOUT
ELEMENTI BEIGE 24x24 MT INOUT
ELEMENTI GREY 12x24 MT INOUT
ELEMENTI GREY 24x24 MT INOUT
ELEMENTI PEARL 12x24 MT INOUT
ELEMENTI PEARL 24x24 MT INOUT
ERDING ASH 24X48 MAT RECT
ERDING ASH 30X30 MAT RECT
ERDING PEARL 24X48 MAT RECT
ERDING PEARL 30X30 MAT RECT
ERDING SILVER 24X48 MAT RECT
EXPLOSION BLUE 24X48 POL RECT
FLAX CREAM 12x24 MATT
FLAX CREAM 24x24 MATT RET
FLAX GREY 12x24 MATT
FLAX GREY 24x24 MATT RET
FLAX GREY 24x48 POL RET
FLAX PEARL 12x24 MATT
FLAX PEARL 24x24 MATT RET
FOREVER ARCE 08X48 MAT RECT
FOREVER HAYA 08X48 MAT RECT
FOREVER OLIVO 08X48 MAT RECT
FOREVER ROBLE 08X48 MAT RECT
FOREVER TILO 08X48 MAT RECT
FORTUNE IVORY 24x48 MAT RECT
FORTUNE IVORY 24x48 POL RECT
FORTUNE NATURAL 24x48 MAT RECT
FORTUNE NATURAL 24x48 POL RECT
FORTUNE PEARL 12x24 MAT RECT
FORTUNE PEARL 24x48 MAT RECT
FORTUNE PEARL 24x48 POL RECT
GRAVITY AXL IVY 16X48 MAT RECT WALL
GRAVITY AXL WHT 16X48 MAT RECT WALL
GRAVITY FLOW ANTH 16X48 MAT RECT WALL
GRAVITY FLOW IVY 16X48 MAT RECT WALL
GRAVITY FLOW PRL 16X48 MAT RECT WALL
GRAVITY HERA SAGE 16X48 MAT RECT WALL
GRAVITY IVORY 16X48 MAT RECT WALL
GRAVITY IVORY 24x24 MAT RECT
GRAVITY PALMER CLD 16X48 MAT RECT WALL
GRAVITY PALMER WRM 16X48 MAT RECT WALL
GRAVITY PEARL 16X48 MAT RECT WALL
GRAVITY PEARL 24x24 MAT RECT
GRAVITY WHITE 16X48 MAT RECT WALL
GRAVITY WHITE 24x24 MAT RECT
HAVSTA BEIGE 12X60 MATT RET
HAVSTA BEIGE 9X47 MAT RECT
HAVSTA BROWN 12X60 MATT RET
HAVSTA BROWN 9X47 MAT RECT
HAVSTA CAMEL 12X60 MATT RET
HAVSTA CAMEL 9X47 MAT RECT
HAVSTA NATURAL 12X60 MATT RET
HAVSTA NATURAL 9X47 MAT RECT
ICARIA BEIGE 12x24 MT INOUT
ICARIA BLANCO 12x24 MT INOUT
JINGSHEN GREEN 16X48 MAT RECT WALL
LINEAR STONE BEIGE MAT 12x24
LINEAR STONE GREY MATTE 12X24
LINEAR STONE WHITE MAT 12x24
LINUM WHITE 24x48 RET POL
LINUM WHITE 24x48 RET SAT
MACAEL WHITE 12X24 MAT RECT
MACAEL WHITE 12X24 POL RECT
MACAEL WHITE 24X48 MAT RECT
MACAEL WHITE 24X48 POL RECT
MALEK BLACK 30X30 MAT RECT
MALEK GREY 30X30 MAT RECT
MALEK PEARL 30X30 MAT RECT
MATERICA DARK GREY 12X24 MATT
MATERICA DARK GREY 24X48 MATT RET
MATERICA GREY 12X24 MATT
MATERICA GREY 24X48 MATT RET
MATERICA NATURAL 12X24 MATT
MATERICA NATURAL 24X48 MATT RET
MATERICA SAND 12X24 MATT
MATERICA SAND 24X48 MATT RET
MEMORY BIANCO 6X40
MEMORY GRIGIO 6X40
MEMORY MIELE 6X40
MEMORY TORTORA 6X40
MILKY WAY WHITE 24X48 HON RECT
MILKY WAY WHITE 24X48 HON RECT NP
MILKY WAY WHITE 36X36 HON RECT
NAIS WHITE 24X48 POL RET
OLSON ALMOND 6X36 MT INOUT
OLSON ALMOND 9X47 MT INOUT
OLSON BROWN 6X36 MT INOUT
OLSON BROWN 9X47 MT INOUT
OLSON SKY 6X36 MT INOUT
OLSON SKY 9X47 MT INOUT
OLSON WALNUT 6X36 MT INOUT
OLSON WALNUT 9X47 MT INOUT
PATAGONIA BLUE 24X48 POL RET
RUBI BLUE 12X24 MAT RECT
RUBI BLUE 12X24 POL RECT
RUBI BLUE 24X48 MAT RECT
RUBI BLUE 24X48 POL RECT
RUBI WHITE 24X48 MAT RECT
RUBI WHITE 24X48 POL RECT
SABIK MIEL 9X47 RET INOUT
SABIK NATURAL 9X47 RET INOUT
SABIK WHITE 9X47 RET INOUT
SCARLET BLUE 24x48 POL RECT
SCARLET GREY 24x48 POL RECT
SCARLET SOFT IVORY 12x24 MAT RECT
SCARLET SOFT IVORY 24x48 MAT RECT
SCARLET SOFT IVORY 24x48 POL RECT
SCARLET SOFT WHITE 12x24 MAT RECT
SCARLET SOFT WHITE 24x48 MAT RECT
SCARLET SOFT WHITE 24x48 POL RECT
SCARLET SOFT WHITE 40x40 MAT RECT
SCARLET SOFT WHITE 40x40 POL RECT
SPRINGWOOD MIEL 6x36 MATT
SPRINGWOOD MIEL 9X47 MAT RET
SPRINGWOOD NATURAL 6x36 MATT
STAGONE GOLD 24X48 POL RET
SUBLIME BEIGE 24X48 MAT RECT
SUBLIME BEIGE 24X48 MAT RECT NP
SUBLIME BEIGE 24X48 POL RECT
SUBLIME BEIGE 24X48 POL RECT NP
SUBLIME DARK GREY 24X48 POL RECT
SUBLIME DARK GREY 24X48 POL RECT NP
SUBLIME GREY 24X48 POL RECT
SUBLIME GREY 24X48 POL RECT NP
SUBLIME WHITE 24X48 MAT RECT NP
SUBLIME WHITE 24X48 POL RECT
SUBLIME WHITE 24X48 POL RECT NP
TAJ MAHAL SEAGREEN 24X48 POL RECT
TAJ MAHAL WHITE 24X48 POL RECT
TRAVERTINO NAVONA BIANCO 12X24 NON-RET NAT
TRAVERTINO NAVONA BIANCO 12X24 RET POL PLUS
TRAVERTINO NAVONA BIANCO 24X24 RET NAT
TRAVERTINO NAVONA BIANCO 24X48 RET MAT
TRAVERTINO NAVONA BIANCO 24X48 RET MAT NP
TRAVERTINO NAVONA BIANCO 24X48 RET POL NP
TRAVERTINO NAVONA GRIGIO 12x24 NON-RET NAT
TRAVERTINO NAVONA GRIGIO 24X48 RET MAT
TRAVERTINO NAVONA GRIGIO 24X48 RET MAT NP
TRAVERTINO NAVONA GRIGIO 24X48 RET POL
TRAVERTINO NAVONA GRIGIO 24X48 RET POL NP
UYUNI WHITE 12X24 MATT RET
UYUNI WHITE 12X24 POL RET
UYUNI WHITE 24X24 MATT RET
UYUNI WHITE 24X24 POL RET
UYUNI WHITE 24X48 POL RET
VELEZ NOCE 32X32 MAT RECT
VELEZ PERLA 32X32 MAT RECT
VENETO II BLUE 12X24 MATT RET
VENETO II BLUE 12X24 POL RET
VENETO II BLUE 24x48 MATT RET
VENETO II BLUE 24x48 POL RET
VENETO II BLUE 32x32 POL RET
VERSAT ASH 9X47 MAT RET IN/OUT
VERSAT HAYA 9X47 MAT RET IN/OUT
VERSAT NATURAL 9X47 MAT RET IN/OUT
VERSAT NOGAL 9X47 MAT RET IN/OUT
VINTAGE BIANCO 12X48
VINTAGE BIANCO 8X48
VINTAGE GRIGIO 12X48
VINTAGE GRIGIO 8X48 NP
VINTAGE MARRONE 12X48
VINTAGE MARRONE 8X48
VINTAGE MIELE 12X48
VINTAGE MIELE 8X48 (NEW Package)
VINTAGE SBIANCATO 12X48
VINTAGE SBIANCATO 12X48 MAT NP
VINTAGE SBIANCATO 8X48
VINTAGE SBIANCATO 8X48 MAT NP
VOLTE HAYA 9X47 MAT RET
VOLTE NOGAL 9X47 MAT RET
VOLTE ROBLE 9X47 MAT RET
VOLTE WHITE 9X47 MAT RET
Number of SFT of materials damaged
*
Please enter quantity in sq. feet
Add another product
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Clear pictures of Damages
*
Click or drag files to this area to upload.
You can upload up to 10 files.
Please send multiple pictures showing all breakage. The better the pictures, the better chance the claim will be honored.
Notes:
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