CLAIM FORM

Raleigh Moving Company is here to help! We are very sorry for any damage that may have occurred during your move. We know accidents occasionally happen, and because of this, we are fully prepared to stand behind our work! To submit a claim, please fill out the form below. A claims specialist will be in contact within 48 hours. Thank you for your patience!

INSTRUCTIONS

1. Do Not discard damaged items, cartons or boxes.
2. Do Not proceed with any repairs or replacements, unless absolutely necessary.
3. Serial numbers are especially helpful for electronic items.

Name

First Name

Last Name

Email Address

Phone Number

Estimate Number

Your estimate # on your estimate sheet

Address of Claim

This will be the address the damage took place

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Explanation of all items damaged along with cost of replacement, weight, and age

Name, cost of replacement, weight, and age of items