File a Claim

We sincerely regret that your move was not to your complete satisfaction.

Your immediate completion of this claim request form will enable us to process your claim. 

Claims Form

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  • Contact Information

  • Loss or Damage Discovery

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  • Note

  • If the claim is for breakage to items packed in containers, please provide the following information. Please be advised that we are not responsible for goods that were packed by the shipper and not packed, unpacked, and inspected by our company.

  • Total Value of Goods Shipped on the Bill of Lading ($):

  • Any person who knowingly and with intent to defraud any insurance company or person, files a statement of claim what contains any materially false information, or conceals for the purpose of misleading information concerning any factual material is there to committing a fraudulent insurance act, which is a crime.
  • Detailed Statement Showing How Amount Claimed is Determined

  • List Number, Description of Items, Nature/Extent of Damage or Loss. ETCWeightDate AquiredOriginal CostValue at Time of Loss or DamageAmount Now Claimed 
  • Drop files here or
    Accepted file types: jpg, gif, png, pdf, doc, xls, Max. file size: 1 MB, Max. files: 5.
      Images, Documents Supporting Value of Items, Estimates of Damage, ETC.
    • Signature of Agreement

    • The undersigned, signer of the foregoing statement, hereby makes a solemn oath to the truth of statements contained herein. The undersigned understands that this is to be a complete and accurate listing of damage to be claimed. In no way does this document construe guilt upon the mover or responsibility to reimburse until the proper investigation has been rendered.
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