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If you would like to file a CLAIM, please
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How Can We Assist You Today?
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1
2
Name On Contract (Claimant)
*
First
Last
Current Address Of Claimant
*
Address Line 1
Address Line 2
City
--- Select state ---
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District of Columbia
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State
Zip Code
Best Contact Number
*
Email
*
Carrier Job Number (Reference #/Job #)
*
Origin State
*
Destination State
*
Date Of Pickup
*
Date Of Delivery
*
Next
Would You Like To File A Claim Or File A Complaint?
*
Claim
Complaint
Claim Category
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Select Claim Reason
Property Damages
Household Goods Damages
Claim Started, Follow Up Request
Were These Items Stored?
*
Yes
No
Where & How Long?
*
Complaint Category
*
Select Complaint Reason
Onsite Complaints
Crew Complaints
Revision Complaints
Brief Complaint Description
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What is your phone number?
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