customer management New Account Application Track Shipment Transit Time requests & Applications Rate Request Loss and Damages Claims Rate Request Rate Request Name* First Last Email* Phone*Business Name*Address* Address Shipping Address City State / Province / Region ZIP / Postal Code Origin Zip Code*Destination Zip Code*Handling Unit*PalletPeiceBoxBarrelCargo ContainerBagBaleBasketBucketBundleCanCarboyCartonCaseChestCoilCrateCylinderDrumEnvelopeFirkinGaylordHamperHogsheadKegLoosePackagePailPipeRackReelRollSlipsheetTankToteTrailerTrunkTubeBatteryA-FrameJugTotal Shipping Units*Please enter a number greater than or equal to 1.Stackable?* Yes No LengthWidthHeightProduct Description*Class*Please select505560657077.58592.5100110125150175200250300400500Total weight*Does freight require guaranteed service? Yes No Common AccessoriesSelect all that apply Inside Delivery Limited Access Delivery Notify Lift Gate Commerical Residential Delivery Construction Site Delivery COD Charge Delivery Appointment Hazardous Protect From Freezing Single Shipment Excessive Length Lift Gate Residential Other OtherComments/Notes Δ Loss and Damages Claims Loss and Damages Claim Name of Claimant* First Last Email* Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Diamond Line Pro Number or Reference Number #*Nature of Claim*Please selectOverageShortageDamageConcealedMissingOther Δ
