Position: Mover - Helper | Best Moving Company NYC | Professional Movers

Contact Information

Full name *

Email *

Job number

Mobile phone *

Alternate phone

Bill of Lading #

Pickup Address

Street address *

City *

State *

ZIP code *

Pickup date *

Delivery Address

Street address *

City *

State *

ZIP code *

Delivery date *

Move Payment

Was this move paid by an employer? * No Yes

Employer name

Value Protection

Select your valuation option * $0.60/lb (Released value) Depreciated protection Full value protection

Did you purchase third-party moving insurance? * No Not sure Yes

Provider / policy #

Claims are processed based on the valuation option selected at booking.

Claim Type

What are you submitting a claim for? * Damage to shipment Loss / missing items Damage to property Delay / service issue

Service Issue Details

Issue category

Preferred resolution

Description

Damaged Articles

Article 1

Inventory #

Carton #

Estimated weight (lbs)

Room / location

Carton damaged? No Yes

Item description

Purchase date / age

Amount claimed

Cost to replace

Loss / damage description

Property Damage

Property type

Where

Exact location

Description of damage

Was damage noted on delivery paperwork at time of delivery? Yes No

Was building management notified? Yes No

Notes

Additional details

Signature

Draw your signature below *

Date *

I certify that I am the owner or authorized representative of the property described in this claim and that all statements are true and complete.

Position: Mover – Helper