Property Damage

1 Instructions

2 Customer Information

3 Claim List

4 Review

5 Confirm & Submit

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We are very sorry for any damage that may have occurred during your move.
To submit a claim, please enter the information below.
Order Number
Name*
First Name Last Name
Primary Phone*
Secondary Phone
Email*
Preferred Method of Contact*
- Email
- Phone
Best Time to Contact You*
- AM
- PM
- Anytime
Current Address*
Street Address Address Line 2 City State ZIP Code
Pickup Address
Street Address Address Line 2 City State ZIP Code
Please Indicate Type of Move
Pick-Up Time

: HH

MM
Pick-Up Date
Delivery Time

: HH

MM
Delivery Date

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Enter Items for Your Claim

Add Claim Item*
Walls
Describe Damage
Amount Claimed
Floors
Describe Damage
Amount Claimed
Carpeting
Describe Damage
Amount Claimed
Window Frames
Describe Damage
Amount Claimed
Ceiling Fixtures & Areas
Describe Damage
Amount Claimed
Hallways
Describe Damage
Amount Claimed
Stairway Railings
Describe Damage
Amount Claimed
Driveway/Curb Area
Describe Damage
Amount Claimed
Landscaping & Outside Area
Describe Damage
Amount Claimed
Other
Describe Damage
Amount Claimed
Upload Images
Drop files here or
If you have an issue uploading images, please save the images and you can email them to our claims team directly later in the claims process. [Max: 10MB]

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I am the person filing this claim, identified as the Claimant, and the owner of the property described. I did not cause or contribute to the damage set forth herein. All statements made in this statement of claim are true and correct to the best of my knowledge and belief, and constitute my complete and entire claim. I have indicated a specified or determinable amount for each article claimed. No material information has been withheld. I understand all claims must be filed within 30 days from date of delivery.
I have read and agree to the above terms*
- I certify that the information I have given on the application is complete and correct.
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