Statement Of Claim

All claims submitted are subject to the terms and conditions on moving contract and the damage guarantee document.

All moving charges must be paid in full along with a $100 deductible fee before this clam will be considered.

Claims form

First Name

Last Name

Date of Move

Phone/Mobile

Claim date

Adress

City

Zip Code

State

Invoice Number

Claim Conditions

Repeater Field

Claim Details	Inverntory number	Article Make/Model	Description of Damage	Purchase Date	Purchase Price	Ammount Claimed

Image Upload

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This form submission attest that the statements above and the photos attached are true and correct and constitute the complete and entire claim. It is further agreed that this form does not constitute an admittion of responsibility by Parkview Moving but is merely assistance in presenting the claim for consideration. Upon completion of repairs, replacement and/or cash settlement of any items names above accepted as liability by Parkview Moving.