Damage Certificate in Insurance Claim

Sample Template Damage Certificate Letter Shortage Certificate from Transporter for Lodgment of Insurance Claim in India in word/ .doc/ .pdf Format

Date : 16.12.2013

M/s Rocket Sales Ltd.
14/6 Nariman Point
Mumbai – 421 120


We hereby certify that White Paper material was transported by our Truck No-------- ---- as per Consignment Note No.----------- dtd.25.09.13 from Polymar Works, New Delhi to Rocket Sales Ltd., Khapoli, Navi Mumbai Works at the owner’s risk. Unfortunately, the goods were found to be in damaged condition on reaching its destination due the factors which were totally beyond the control and power of the driver of the said vehicle in transit and because of jerks and bolts and unfortunate event, the following damages/shortages were caused to be consignment as detailed herein below:

1012 Kgs of White paper delivered in damage condition

This certificate is strictly issued without prejudice to our right and without admitting/undertaking of any liability on account of the damage/shortage caused due to said unfortunate event on the basis of the survey report. This certificate is being issued at the specific request of the consignor that they need the said certificate for the purpose of lodging a claim with its insurance company as the said consignment was insured.

For Transport Corporation of India

Authorised Signatory

Damage Certificate Letter in word Format


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