FORM 1- NOTICE OF CLAIM FORM
A Notice of Claim (Form 1) must be sent by you, the Shipper/Claimant, to the applicable Carrier within 10
days of the Discharge Date in the case of visible damage to Cargo, or within 30 days of the Discharge Date
in the case of concealed damage or Lost Cargo. This Notice of Claim (Form 1) must be sent to your
Carrier by fax, email, hand delivery, registered mail, courier, or regular mail, accompanied by copies
of all relevant supporting documents (see below). Distributing this form is no admission of liability.
NAME OF CARRIER (NEAS, NSSI or NTCL):
IDENTIFICATION OF CLAIMANT
Name:
Address:
City:
Telephone (Office):
Telephone (Home):
Fax:
Province:
Postal Code:
E-mail:
Vessel:
Destination:
Crate number:
Voyage number:
Page of manifest:
Packer:
Type of Cargo (Vehicle, Grocery, Furniture, Hardware, Materials, Other):
Type of Damage (Damaged, Missing, Spoiled, Stolen, Frozen, Other):
Amount Claimed as Compensation:
Please justify the amount(s) being claimed (attach additional sheets as needed):
List Documents Submitted With Notice of Claim (See Instructions & Attach Copies)
1.
7.
2.
8.
3.
9.
4.
10.
5.
11.
6.
12.
Shipper/Claimant’s Signature: ________________________
Shipper/Claimant’s Name: ________________________
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Date:_____________
dd/mm/yyyy
INSTRUCTIONS
If you wish to make a claim with respect to your Cargo, you should review the Sealift
Claims Handling Rules for full details on the claims procedure. Copies of the Rules are
available at www.gov.nu.ca/sealift, as well as on the Carriers’ websites and can also be obtained
in hard copy from any Sealift or Government of Nunavut office on request. Initial steps are
summarized below:
STEP 1: A Notice of Claim (Form 1) must be sent by you, the Shipper/Claimant, to your Carrier
within 10 days of the Discharge Date in the case of visible damage to Cargo, or within 30 days of
the Discharge Date in the case of concealed damage or Lost Cargo. This Notice of Claim (Form
1) must be sent to your Carrier by fax, email, hand delivery, registered mail, courier, or regular
mail, accompanied by copies of all relevant supporting documents, such as those listed below.
If you do not attach all information explaining and supporting your Claim, the Carrier can only
make a decision based on the information in its possession. If you fail to submit your Notice of
Claim (Form 1) in the time limits stated, your Claim will be time- barred.
 Signed Manifest
 Booking Note
 Anticipated Cargo Form
 Witness Statements
 Photographs
 Correspondence with Carrier/Agent/Supplier
 Notes/Tape-recordings/Telephone Records
 Damage or Inspection reports
 Request for Space
 Shipping Contract(s)
 Canceled Cheques
 Invoices/ Receipts
 Repair Estimates
 Insurance Coverage if applicable
STEP 2: Within 30 days of the receipt by the Carrier of your Notice of Claim (Form 1), the
Carrier must send a written Acknowledgment (Form 2) to you acknowledging receipt of the
Claim and identifying any relevant evidence that is necessary to the processing of the Claim but
that has not yet been provided by you.
STEP 3: After you have forwarded all necessary documentation of your Claim and within 180
days of the Discharge Date, the Carrier will send a Notice of Decision (Form 3) to you outlining
the Carrier’s final decision on the Claim, along with any reasons for the decision. If you are
unhappy with the Carrier’s decision, please see the Sealift Claims Handling Rules for details on
how to continue your Claim. Be aware that failure to comply with applicable time limits in
those Rules may result in your Claim being time-barred or in cost consequences.
Carrier Addresses for Claims:
Please send your Notice of Claim (Form 1) to the address listed below for the Carrier with whom
you contracted to carry your Cargo.
Nunavut Eastern Arctic Shipping
Port of Montreal Building,
Cité du Havre, Wing No. 2
Suite 2060
Montréal Québec H3C 3R8
Attn: Dan Jurgiu
Fax: 514-523-7875
Email: djurgiu@nanuk.ca
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