Fill and Sign the Lost Bills of Lading Nau Claims Form

Indemnity Agreement regarding Lost or Missing Bill of Lading Indemnity agreement made ______________ (date) between _______________________ (Name of Claimant), of ___________________________ _____________________________________________ (street address, city, state, zip code) , hereinafter called Claimant , in favor of _____________________ (Name of Carrier), of ____________________________________________________________ ____________ (street address, city, state, zip code), hereinafter called Carrier.For and in consideration of delivery to it of the shipment described below, without surrender of the original bill of lading covering the same, _____________________ (Name of Claimant) agrees to indemnify ____________________ (Name of Carrier) and any other interested carriers, if any, from any and all lawful claims that may be made against ______________________ (Name of Carrier) or such other carriers arising out of the shipment, and will pay to ____________________ (Name of Carrier) or such other carriers all losses, damages, costs, counsel fees, or other expenses that __________________ (Name of Carrier) or such other carriers may suffer or pay by reason of the delivery.The above-described bill of lading cannot be produced for the following reason: (state reason for inability to produce bill of lading) __________________________ ____________________________________________________________________________________________________________________________________________ _____________________________________________________________________.Description of Shipment Articles or Items: (Description of articles or items) ______________________ ________________________________________________________________ ________________________________________________________________.Consignor: ____________________ (Name of Consignor). From: ___________________________________________________________ ______________________________________________ (Place of shipment).Consignee: _____________________ (Name of Consignee).At: ______________________________________________________________ (Destination).Route: __________________________________________________________ ___________________________________________ (Description of route). Freight Bill No. _____________ (number). Dated: __________________ (date). Issuing carrier: __________________________ (Name of Issuing Carrier). Bill of Lading No. _______________ (number). Dated: _______________ (date)Issuing carrier: ________________________ (Name of Issuing Carrier).Witness my signature this ____________________ (date) . __________________________(Printed Name of Claimant)__________________________ (Signature of Claimant)