Claims
Move Date *
MM
/
DD
/
YYYY
Time
:
First/Last Name *
The name of the contractual customer
Your answer
Move Number *
Move # can be found on your the contract you signed to confirm move details
Your answer
Did you hire Moving Proz LLC for packing services? *
Did you pack the boxes or did we?
Where did the damage occur *
Damaged Item *
ex. Dresser, kitchen table, Grandfather Clock etc.
Your answer
Manufacturer/ Brand/ Model Number(s) *
Your answer
Explanation of Damage(s) *
Your answer
Composition *
What was the Item made of
is the item repairable? *
Explanation of incident *
be as specific as possible (names,suggestions, warnings, accidental/intentional, negligence, reactions)
Your answer
Were you present during the incident and if not where where you when it happened? *
Your answer
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