FormFreight / Courier / Warehousing11 questions · ~4 min

Shipment Damage or Loss Report form template

This free Shipment Damage or Loss Report form template helps you report damaged, missing or delayed shipments with evidence. It has 11 ready-made questions, takes about 4 minutes to answer, and is anonymous by default. Customise every question, then share it by link, QR code or website embed.

Use this template — free All templates

Questions in this template

Full name *
Short text
Email address *
Email address
Phone (optional)
Phone number
Tracking / waybill number *
Short text
What happened? *
Single choice
Damaged · Missing / lost · Partly delivered · Delayed · Delivered to the wrong address
Delivery date (or expected date)
Date
Which items are affected?
Short text
Describe the problem *
Long text
Estimated value of affected items
Number
Photos of the package and items (optional)
File upload
What would you like us to do?
Single choice
Replace · Refund · Re-deliver · Repair · Nothing, just reporting it

* required. Every question is editable.

Recommended settings

Visibility: Unlisted — only people with the link
Responses: Anonymous — not linked to accounts
Results: Only you and your workspace see results
One response per: No limit (people can submit for others)
Consent notice: Included — edit it to match your policy

Best for: Tracking number, photo evidence, preferred resolution.

Industries: Trading & Distribution, Logistics & Transportation, E-commerce.

Best practice for customer support

Ask for a reference number (order, tracking or account) so you can find the case quickly.
Tell people never to send passwords or full card details through the form.
Make the thank-you message honest: a submission isn’t a resolved ticket or an approved claim.

Shipment Damage or Loss Report: frequently asked questions

What questions should a Shipment Damage or Loss Report form include?

A good Shipment Damage or Loss Report form is short and focused. This template asks: Full name · Email address · Phone (optional) · Tracking / waybill number — plus 7 more. Remove anything you won’t act on.

Is the Shipment Damage or Loss Report form anonymous?

Yes. Responses are anonymous by default and aren’t linked to anyone’s account, although the form asks for contact details so you can reply.

How long does the Shipment Damage or Loss Report form take to complete?

About 4 minutes — 11 questions. Shorter forms get more responses.

Can I customise the Shipment Damage or Loss Report form template?

Yes. Every question, option and setting is editable before you publish, and you can add skip logic, pages, a cover image and translations into 20 more languages, from Chinese, Hindi and Spanish to Arabic, Bengali and Hausa.