NextDay / International Consignment Indemnity Form

Complete the following form to request additional indemnity for your shipments. For more information please read the Consignment Indemnity Cover Guide.

If you prefer, please print the NextDay/International Consignment Indemnity Form and return it to CitySprint by fax.

 

Fields marked with a * are required.

Company Name*:
Contact Name*:
Email Address*:
Contact Tel*:
CitySprint Account Number*:
Job/Air Waybill Number*:
Destination Country*:
Number of Pieces*:
Weight (kg)*:

Details of Goods to be Covered

  • Enter the total value in £UK of each group of items—not the value per item.
  • The total value of goods to be covered must not exceed £10000.
Description Units Total
Value
£
£
£
£
£
Total value of goods to be covered*: £
Consignment Indemnity Cover Charge*: £