GJ TRANSPORTATION LLC
Your Delivery, Our Priority
← Back to Claims Dashboard
SUBMIT CLAIM
Internal Claim Number: Loading…
Customer Information
Customer Full Name
Claim Date
Customer Address
Customer Phone
Claim Information
Claim Number (from client)
Subcontractors Involved (up to 4)
Account
Select
Lazy Boy
Williams Sonoma
Costco
IKEA
Truck Designation
Type of Claim
Select
Home Damage
Product Damage
Accident
Missing Item
Procedure Claim
Other
If Other, please specify
Description of Issue
Was there a settlement amount?
Select
No
Yes
Settlement Amount
Upload Photos / Documents (optional)
Submitted By
Select
Nicole Cruz
Gerard Jimenez
Nicolanny Balbi
Submit Claim
← Back to Claims Dashboard
Submit Claim
