Toll Free:(800) 249-2414

OPEN FOR BUSINESS during Coronavirus Emergency. All In-Home Estimates can be done via video survey. Click here to learn more.

STANDARD PROOF OF LOSS AND DAMAGE CLAIMS

UNDER UNIFORM HOUSEHOLD GOODS BILL OF LANDING



Loss & Damage Claims Form


Claimant Information


Description

If claim is for breakage or shortage to items packed in containers give following information:





Claimed Statement

(If applicable)


Claimed Statement

(If applicable)


Claimed Statement

(If applicable)


THE FOLLOWING DOCUMENT IS SUBMITTED IN SUPPORT OF CLAIM