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If you're here and need to report a claim, allow us to start out by offering you an apology. Unfortunately accidents occasionally happen, but our claims and damage specialists will do everything they can to make things right. Please take a moment and fill out the form below to initiate your claim and one of our representatives will be in contact with you shortly.


Instructions:
      1. Do Not discard damaged items, cartons or boxes.
      2. Do Not proceed with any repairs or replacements, unless absolutely necessary.
      3. Fill out all fields that you are capable of answering.
      4. Serial numbers are especially helpful for electronic items.
      5. If you selected Depreciated Valuation, what would you guess the value to be?*
      6. If you selected Replacement Valuation, what would you guess the new cost to be?*

* We will due the necessary research to determine the value.

» Additional Information and what items aren't covered

First Name Last Name Email
Phone Number Quote Number Move Date
Coverage Type Deductible
: $250   : $100   : $0   : Other  

Damaged/Lost Items - What items are not covered?

Item Year Model Serial # New Item Cost
Damage Description



Notes:




»Learn more...
Find out more information about the damage repair process, your damage coverage and what items are not covered.


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