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Food Commodities Non-Food Commodities: Crs Commodity Loss and Claim Pursuit Report

This document summarizes a commodity loss or claim report. It provides details of the loss such as location, transporter, commodities affected, quantities and values. It also describes the nature of the loss, circumstances, actions taken, potential claims against liable parties, and recommendations.

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Nikang Praises Jam
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79 views1 page

Food Commodities Non-Food Commodities: Crs Commodity Loss and Claim Pursuit Report

This document summarizes a commodity loss or claim report. It provides details of the loss such as location, transporter, commodities affected, quantities and values. It also describes the nature of the loss, circumstances, actions taken, potential claims against liable parties, and recommendations.

Uploaded by

Nikang Praises Jam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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CRS COMMODITY LOSS AND CLAIM PURSUIT REPORT

TO: DATE :
FROM: CRS <<COUNTRY PROGRAM>> LOSS REPORT No:
WHSE: CLAIM No :
VENDOR: DISTRIBUTION CENTER:
TRANSPORTER CENTER CODE:

Regular Program
● Food Commodities
Non-Food Commodities Other:

Containers
Source Total QTY Value CIF per Loss Value
Commodity DN / WB No. (e.g., Supplier, Lost by Weight KG or Unit CIF
(provide specifications) No. of
Type of Net Weight in Donor) (in KG) or Unit (US $) (US $)
Damaged
Container KG
Containers

$0.00
0.00 $0.00
0.00 $0.00
0.00 $0.00
0.00 $0.00
0.00 $0.00
TOTALS : 0.00 $0.00

3. Time and place of loss / damage / misuse:

4. Current location or disposition of commodities:

5. Person or agency having possession of commodities at time of loss / damage / misuse:

6. Nature and extent of loss / damage / misuse:

7. Details and circumstances under which loss / damage / misuse took place:

8. Actions taken to effect recovery, disposal (e.g., sale, donation, destruction) or restitution:

9. Details of any claims established against parties liable for the loss / damage / misuse:

10. CRS proposes to waive further claims collection because:

Signature (CRS) : Date:

ACTION: CRS or Donor Official

Concurs with the PVO action(s) taken.

Does not concur (explain):

Claim should be made against:

Other recommendations:

Signature (Authorized Official): Date:

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