If the shipment is damaged and valued at over CAD$500, or you require assistance completing this form, please
call 1 800 461-0540.

Retain all damaged freight and packaging including packaging until claim is finalized. Please note that all claims will be evaluated pursuant to Purolator Terms and Conditions of Service.

Claim
Claimant
Claimant Address
Postal Code Lookup
Suffix
Direction
Shipper
Postal Code Lookup
Suffix
Suffix
Receiver
Postal Code Lookup
Suffix
Direction