Claim Form

Before submitting your claim, please take a moment to review the following:

Claim must be submitted in writing or emailed; please contact your move counselor to find out how long you have to file your claim.
Please provide a detailed description of the damages.
Prompt settlement requires:
- Inventory number
- Article
- Age of item
- Original cost
- Replacement cost
- An estimate of repair is NOT needed.

*Please do not discard damaged cartons, and have all broken items available for inspection.

*All damaged items must be inspected by the carrier prior to being moved again.

*Please do not attempt to repair items before the carrier has the opportunity to inspect the damages.

First Name*

Last Name*

Delivery Address*

Apt/Suite#

City*

State*

Zip*

If different from above

Mailing Address

Apt/Suite#

City

State

Zip

Email*

Home Phone*

Work Phone

Cell Phone

Name of Employer

Employer pay for move?

YesNo

Carrier Reference #

Pickup Date

Delivery Date

Origin Address*

Apt/Suite#

City*

State*

Zip*

Additional Comments: 4000 characters left

(This textbox accepts only 4000 characters)

*Once you click on send, a copy of the information you filled out above will be sent to your email.

Have more questions about our moving services?
Call us today: 800-476-6683

Please select your type of move below:

800-476-6683