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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.

Bold Fields are Required
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 #:
Other Information Please include any other information that will help us research this for you.
Preparer Name
Preparer Telephone