Overage, Shortage, and Damage Claim Form Contact us OSD CLAIM FORM Name(Required) First Last Phone(Required)Email(Required) CCR Ticket # (Stevens Issued after submission)(Required) Pieces/Items(Required) Location of Freight(Required) Is Product Still Packaged for Reshipment?(Required) Yes No Was an exception noted on the delivery receipt at the time of delivery?(Required) Yes No Stevens Order Number Consignee Address Street Address Address Line 2 City ZIP Code Carrier Carrier Pro Number Bill of Lading Number Pick Up Date MM slash DD slash YYYY Delivery Date MM slash DD slash YYYY NotesClaim Information Loss Damage Shortage Overage Please submit any available documentation with completed form:Max. file size: 32 MB.CAPTCHANameThis field is for validation purposes and should be left unchanged.