Verso Easy ClaimTM Contact Information:
 Phone: 800-443-7617
 Fax: 800-570-5689

 

Please fill out the form below. This is for transit damage claims only. Once your information has been submitted, you and a Verso Easy Claim™ Representative will receive a copy of the claim via email. The claim will be sent to you in a PDF format that is readable with Adobe Acrobat Reader.

 

Click on the following to view our Verso Easy Claim™ Program Guidelines.

 

Contact Information:
Company Name:* State:*
Contact Name:* Postal Code:*
Address 1:* Phone Number:*
Address 2: Fax Number:
City:* Email: *
Country:

Order Information:
Mill/Sales Order Number: B/L Number:
Car/Trailer Number: Customer Claim Number:
Signed Delivery Receipt:
Date RR Notified:
Required for Motor Carrier(s) Waived By:

Product Information:
Number of
Units		 Damaged
Weight		 Roll/Skid
Number		 Product Description Price
(If avail)		 Amount
Subtotal Amount:
[+] No. of Photos: @1.00 Each
[+] Rework Cost:
[+] Handling Cost:
[-] Salvage Allowance:
Total Claim Amount:
At least one box must be checked
Damage Type:

Check All Documents Sent
Documentation Required:

At least one box must be checked
Damaged Product Status:

Location of Damage:
On Product In Trailer In Rail Car

Condition of Load:
Condition of Dunnage:
Blocking/Bracing:
Condition of Equipment:
Holes in Vehicle:

Facts Relating to Damage: Assignment of Claim:
Company Name:*
Title Holder and Assignor:

Hereby gives over and assigns to Verso Paper Corp. (herein after called the "assignee"), all rights, titles, and interests which has or may have in any claim against the transportation companies for the recovery of money or for other redress on account of loss of or damage to the shipment or shipments described above. Said assignor does hereby give unto the said assignee full and complete authority to settle assignor’s claim, and to receive payment in settlement of the aforesaid claim.
Note: Claim Documentation:
If this is a truck or piggyback shipment, please note damages and have the driver sign the delivery receipt.

(Rail shipments require notification of damages) 		The supporting documentation of the claim will be sent via:*