Moving Company Damage Claim Form
Moving Company Damage Claim Form
Please fill out this form completely to report any damages incurred during your move.
Customer Information
Name
Address
Phone number
Moving Details
Date of Move
Origin Address
Destination Address
Damage Information
Description of Damaged Items
Condition Before Move
Condition After Move
Estimated Claim Amount
Attachments
Submit images of any damaged items.
Signature
I hereby declare, to the best of my ability and understanding, that the information I have provided is true, correct, and complete, reflecting the utmost accuracy based on what I currently know.
Name:
Date:
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