Claims

Damage Claim Form

Fill out the form below for each damaged item or incident 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 multiple items are damaged, please fill out the form again for each damaged item/incident of property damage.

"*" indicates required fields

Name*

Phone Number*

Email*

Today's Date*

Current Time*

Date of Move*

Did you purchase full value protection?*

Please select the protection option you selected prior to your move:

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 REMEMBER, ONLY ONE DAMAGED ITEM/PROPERTY PER FORM

What specific item/property are you claiming damage with this form?*

Address that the damaged item/property is located:*

Do you currently reside at this address?*

Description*

Please describe to the best of your ability how the damage occurred and which movers are responsible for the damage:

The following questions apply to damaged items only. If you are reporting damage to your home or office, please write 'N/A' as your answer.

Make, Model, and Model Number*

When and where did you buy this item?*

What is the estimated weight of the item?*

Please upload the purchase receipt for the item here:

Max. file size: 20 MB.

Please upload photos of the damaged item/property below. Include pictures of the damage up close and also far away.

Upload File

Drop files here or

Max. file size: 256 MB.