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.
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Help With Using This Form
Date of Claim:
Were your goods packed and unpacked by the moving company ?
Was there any external damage to the packing containers ?
When was the damage discovered ? :
By Whom ?
Damaged / Lost Items' Details
Describe Damage M=missing, D=damanged
Age of Item
(don't forget the
"*" required fields)