Claim Form For Damage or Loss

Damage or Loss Claim Form

Contact Us - Online Claim Form

MultiCity Movers makes every effort to ensure your household goods arrive in the same condition in which we received them. Sometimes during a move some damage occurs. You can file a claim either by filling our online claim form or by printing and mailing our Claim form in paper.

Instructions:

Details of claim must be complete.
All claims must be submitted within 30 days of delivery date.
If damage claim, do not proceed with repairs or replacement, as we reserve right to inspect all items
If loss claim, describe item in detail such as color, identifying features

Customer Name: *
Street			Apt
City			State/Province
Phone *			E-Mail *
Moved From			Moved To
Pick/up Date			Delivery Date

	Inventory Number	Article	Describe Damage or Loss	Estimated Weight	Purchase Date	Purchase Price	Estimated Repair Cost	Amount Claimed
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Additional comments about your claim

Submitting this form attests that the statements above are true and correct and constitute the complete and entire claim. It is further agreed that this form does not constitute an admission of responsibility by the carrier but is merely an assistance in presenting the claim for consideration.

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