Claims report

We kindly request that you complete the form to outline the details of the damage incurred by you on board the ship or at the harbour terminal.

Fields marked with an asterisk (*) are required.

Incident

Terminal/Harbour

Ship

Select the appropriate option from the list below for additional details.

Claim

Damage report number or booking number

Item/asset

Registration number, owner's name, address, e-mail, phone

Reason for traffic disruption

Date (DD/MM/YYYY format)

Extent of damage, description of the incident, cause

Compensation claim and explanation thereof

Attachments and receipt copies — upload file (max 3 MB)

Have you already received compensation on board the ship/at the harbour terminal regarding this matter?

Yes

Write down any compensation you have already received

First name

Surname

Post address

Postal code

City/district

Country

Phone (preferably mobile)

E-mail

Bank account number in IBAN format

BIC/SWIFT

Please confirm that you have read the Data protection description:

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