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Official form guide

Form Part IV : Statement of Claim: No. 4 Shipper Against Master on a Bill of Lading for Damage to Goods

This form is a legal document used by shippers to initiate a claim against a ship's master for damage to goods during maritime transport. It's used when goods are damaged while being transported under a bill of lading in Irish waters or involving Irish courts.

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Form Overview

Courts Service of Ireland - Form Part IV : Statement of Claim: No. 4 Shipper Against Master on a Bill of Lading for Damage to Goods

This form is a legal document used by shippers to initiate a claim against a ship's master for damage to goods during maritime transport. It's used when goods are damaged while being transported under a bill of lading in Irish waters or involving Irish courts.

This form captures details about the damaged goods, the bill of lading, the extent of damage, and the compensation being claimed from the ship's master.

Risk Radar

Scan points
  • 1Always include clear photographic evidence of the damage to support your claim.
  • 2Incomplete description of damaged goods
  • 3Missing evidence of damage
  • 4Incorrect calculation of compensation value
  • 5Missing bill of lading reference

Plain English

This form helps shippers who've received damaged goods after shipping to formally claim compensation from the ship's captain. It's part of the legal process for resolving disputes about damaged cargo in Irish maritime law.

Submission Date

  • Filing date: Maritime claims must typically be filed within one year from the date of delivery or discovery of damage, but specific time limits may apply depending on the circumstances.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • Use when goods are damaged during maritime transport
  • Use when making a claim specifically against the ship's master
  • Use when you have a bill of lading for the shipment
  • Use for claims within the Irish court system
  • Use for physical damage to goods, not financial losses

Form selector

Use this form or another form?

Damage to goods by carrier

Different legal entity being claimed against

✓ Verify if you're claiming against the carrier or the master

Part V Statement of Claim

Delay in delivery

Different type of claim altogether

✓ Check if your issue is about damage or delay

Part VI Statement of Claim

Loss of goods

Different legal basis for claim

✓ Confirm if goods were lost or damaged

Part VII Statement of Claim

Claim against shipping company

Different legal entity

✓ Verify if you're claiming against the company or the master

Part VIII Statement of Claim

Deadline or filing window

Maritime claims must typically be filed within one year from the date of delivery or discovery of damage, but specific time limits may apply depending on the circumstances.

Before you submit

  1. 1Complete all sections of the form
  2. 2Attach copy of bill of lading
  3. 3Include photographic evidence of damage
  4. 4Calculate compensation amount accurately
  5. 5Verify correct court jurisdiction
  6. 6Include contact information for all parties
  7. 7Pay the required court fee
  8. 8Keep a copy of the submitted form

How to file this form

  1. 1Obtain and complete the Part IV Statement of Claim form
  2. 2Document all details about the damaged goods and shipment
  3. 3Gather evidence of damage (photos, reports)
  4. 4Calculate the compensation amount
  5. 5Submit the completed form to the appropriate court office
  6. 6Pay the required fee
  7. 7Attend any required court hearings

Known limitations

  1. 1This form only covers claims against the ship's master, not the shipping company
  2. 2It's for physical damage to goods, not financial losses
  3. 3It must be filed through the Irish court system
  4. 4It may not be suitable for international maritime claims under different jurisdictions

Field map

Compact field-by-field guide

6 fields

Proceedings

3 items

Title of Proceedings

The names of the parties exactly as they appear on the originating document.

Requiredtext
Record Number

The court record number for the case, if one has been assigned.

Requiredtext
Court and Office

The court and the office where the document is being filed.

Requiredtext

Substance

2 items

Relief or Information Sought

What you are asking the court to do, or the information the form requires.

Requiredtext
Grounds and Exhibits

The facts relied on and any documents exhibited with the filing.

text

Execution

1 items

Signature, Jurat or Service Details

Signed, sworn or certified as the form requires, with proof of service where needed.

Requiredsignature
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Current form status
COURTS

This form is current and in use as part of the Irish maritime legal system; no recent changes have been confirmed.

What changed or needs a fresh check

  • Verify the current version of Part IV forms with the Courts Service
  • Check if recent changes to maritime law affect this form
  • Confirm if electronic submission options are now available
  • Verify if the fee structure has changed recently

Quick Facts

Shippers whose goods were damaged during maritime transportation need to file this form against the ship's master or the shipping company.
This form captures details about the damaged goods, the bill of lading, the extent of damage, and the compensation being claimed from the ship's master.
This form should be submitted as soon as damage is discovered and before any legal time limits expire, typically within one year from the date of delivery or discovery.
Submit this form to the appropriate court office in Ireland handling maritime claims, or as directed by the Courts Service of Ireland.
Submitting this form correctly is crucial to preserve your legal right to claim compensation for damaged goods; errors or delays could result in losing your claim.
Fill out all sections completely, attach evidence of damage and the bill of lading, calculate the compensation amount, and submit to the correct court office with the required fee.

Form Details

Revision date
26/01/26

Downloads & source

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Sources

  • SRCForm issued by Courts Service of Ireland
  • SRCPart of a series of maritime claim forms
  • SRCUsed for claims against ship's master specifically
  • SRCRelated to bills of lading and damaged goods
  • SRCNot confirmed in official source: Current filing fees
  • SRCNot confirmed in official source: Specific time limits
  • SRCNot confirmed in official source: Electronic submission options

Common confusion points

Confusing when to use this form versus other shipping claim forms

Uncertainty about whether to claim against the master or the shipping company

Difficulty determining the correct court jurisdiction

Challenges in calculating appropriate compensation amounts

Unclear about required evidence for supporting the claim

Confusion about time limits for filing

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Source transparency

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BrieflyGo links to and explains official public form sources. We are not a government agency, and this page is for general form guidance, not legal advice.

CC BY 4.0Creative Commons Attribution 4.0 International. Free to copy, modify, and distribute — even commercially — with attribution.
All Rights ReservedAll rights reserved by the copyright holder. Not licensed for open use. May only be used with explicit permission or under fair dealing/fair use.
All Rights ReservedAll rights reserved by the copyright holder. Not licensed for open use. May only be used with explicit permission or under fair dealing/fair use.
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