Template $5.90

Shipping Insurance Claim Form

Prepare a shipping insurance claim with the declared-value reasoning and documentation an insurer or carrier actually expects.

Insurers deny claims that don't establish declared value up front

A shipping insurance claim rarely fails because the loss or damage wasn't real — it fails because the paperwork doesn't establish, clearly and with evidence, what the item was actually worth and what actually happened to it. Insurers and carriers expect a specific structure: a declared value you can justify, a shipment record, and a distinct account of whether the item was lost or damaged (the two require different evidence). This form builds that structure before you file, instead of after a claim's already been rejected once.

  • How to Use guidance, including why declared value matters and how to justify it
  • Shipment Details section — carrier, tracking, dates, declared value
  • Separate Loss section and Damage section — each with the specific evidence that type of claim needs
  • Required Documents Checklist
  • Claim Submission Tracker

Step by step

  1. Download the form (PDF or Excel version included).
  2. Read the How to Use guidance and note why your declared value needs its own justification, not just a number.
  3. Fill in the Shipment Details section with your carrier, tracking, and dates.
  4. Complete the Loss section or the Damage section — whichever applies to your shipment.
  5. Work through the Required Documents Checklist before you file, and log your submission in the Claim Submission Tracker.

Anyone filing a shipping insurance claim

A lost or damaged shipment covered by carrier or third-party shipping insurance, where the claim needs to establish declared value and the specific circumstances clearly.

  • Print-ready PDF version
  • Editable Excel version
  • Shipment Details, separate Loss and Damage sections
  • Required Documents Checklist, Claim Submission Tracker
  • Works on any device

Establish your declared value before you file.

The specific structure an insurer or carrier expects — shipment details, the right evidence for loss or damage, and every document checked off before you submit.

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One-time $5.90 · PDF + Excel · Works on any device