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SERVICES RESOURCES ABOUT CONTACT US CAREERS XTREME ASSURANCE
Xtreme Guarantee Claim Form
(Click here for PDF format)
  Some restrictions apply:
  • Xtreme Guarantee claims must be filed within 14 days of invoice date.
  • Xtreme Guarantee claims can only be filed by debtor of freight bill.
    •

    *Required Fields
    *Claimant Type
    *Claimant Name
    *Company Name
     *Street Address
    *City *State *Zip
    *Claimant Telephone
    *Claimant Email Receipt will be sent, if valid.
    *Pro Number (11 digit, numbers only, no dashes or check digits)
     *Pick-up Confirmation Number
     *Nature of Claim
    (check all that apply)

    *Claim #:
    *POD Request Date:  
    Other Information Please include any other information that will help us research this for you.
    *Preparer Name
    *Preparer Telephone
     
     
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