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XTREME ASSURANCE
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Xtreme Guarantee Claim Form
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
Shipper
Consignee
*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)
Pick-Up Performance
On time Delivery
Invoice Accuracy
Claim Free Delivery (In addition, you MUST file
standard claim form)
Claims Settled
*Claim #
:
Other Information
Please include any other information that will help us research this for you.
*Preparer Name
Same as claimant above
*Preparer Telephone
Same as claimant above
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Saia, Inc. All rights reserved. Customer Service: 1-800-765-SAIA(7242)