Report Damage or Loss

*Order No. :  
  • Use the "Add Note" button next to each line to add a note or comment relating to that particuler file or record.
  • Use the "Add Another Item" to request delivery of more then one file.
  • Put your mouse over the icons to see more information.
Alert Help With Using This Form
*Claimant's Name:  
Company Name:  
*Date of Claim:    Pop Up Calander
Were your goods packed and unpacked by the moving company ?    
Was there any external damage to the packing containers ?    
When was the damage discovered ? :    Pop Up Calander
By Whom ?    

Damaged / Lost Items' Details

  Article Description Describe Damage M=missing, D=damanged Age of Item Cost New Current Value


(don't forget the
"*" required fields)