Claims

DAMAGE CLAIM FORM

Fill out the form below for up to four damaged item or incidents of property damage that you would like to report, and we will contact you within 2-3 business days to discuss your damage claim. Please note that all damage claim forms must be filed and submitted within 72 hours of the end of your move, and claims are paid out according to the valuation coverage option that you selected upon booking. If you have more than 4 items, please fill out the form again for additional damaged items.

“*” indicates required fields

First Name

Last Name

Phone

Today's Date

Current Time

Date of Move

Did you purchase full value protection?

No, I waived full value protection and chose released value protection of $0.60/lb per item Yes, I purchased the $50 deductible option that includes up to $1,000 of full value protection Yes, I purchased the $750 deductible option that includes up to $15,000 of full value protection (can include up to $50,000 for local moves)

Please add information and images for the specific item(s)/property are you claiming damage with this form?*

Claim Item 1

Claim Item 1 Images

Claim Item 2

Claim Item 2 Images

Claim Item 3

Claim Item 3 Images

Claim Item 4

Claim Item 4 Images

Address that the damaged item/property is located:

Street Address

Line 2

City

State

Zip Code

Do you currently reside at this address?

Description

CONTACT US

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or call us

(801) 871-5221

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