File a Damage Claim

Mark's Movers

Raleigh's Movers

File a Damage Claim

* No claim can be made until all freight bills have been paid in full.
* The carrier reserves the right to inspect all damage prior to repair. Do not discard any packing materials or
make any repairs until damage has been verified.
* Any claimed items that cannot be verified will not be honored.
* Please fill in all information requested. Failure to do so may cause delays in the processing of your claim.
* By making this claim, the undersigned hereby warrants that he/she is authorized to submit this claim on
    behalf of the shipper/consignee and hereby consents to the disclosure of the information provided herein
    and all other information about the claim to the National Household Goods Claim Registry (NHGCR) and to all
    participating members of the NHGCR. The undersigned also warrants that he/she has not made any other
    claim for damages with any other entity.

Statement of Claim

Claimant's Name: *
Bill Of Lading #: *
Current Address: *
City: *
State:
Zip Code: *
Phone Number: *
Previous Address: *
City: *
State:
Zip Code: *
Valuation Chosen:
If Full Coverage-Amount Paid:
Item Damaged: *
Description of Damage: *
Original Cost: *
Current Value: *
Source Of Value: *
Estimated Weight: *
Date Purchased: *
Amount You are Claiming: *
	By checking this box I agree to the statement below **

** I/We hereby certify that the above information is true and accurate to the best of my/our knowledge and belief.