• Date Format: MM slash DD slash YYYY
  • List the items you are claiming for and describe the damage or loss, below. Please attach additional sheets if necessary. Be sure to attach all pertinent documentation to support your claim (i.e., photos)
  • Drop files here or
    • This claim form is to be filed for damaged and/or missing items included in the shipment of my household goods, which were transported by the above-mentioned carrier. The carrier’s maximum liability is limited to 60 cents per pound, per article. I understand that Zip Moving and Storage, Inc acting as my moving coordinator, bears no liability for any and all damaged/missing items sustained during the course of my relocation and agree to forever discharge said organization from responsibility for the actions of the carrier including but not limited to damaged/missing items.
    • If YES is answered to either of these questions, all claims processing must be done by the applicable insurance company, andsaid insurance company will compensate you directly. Once you have been compensated, your insurance company will then takea subrogated position to seek reimbursement from the Carrier. You understand that in this event, you will collect from your 3rdparty insurance ONLY, and cannot then place a subsequent claim with the Carrier. We will cooperate with your insurancecompany fully to assist in resolving your claim.
    • I understand any adjustments made to this form are not valid unless signed by both parties. I do hereby certify all statementscontained herein and exhibits attached hereto, to be true.
    • Date Format: MM slash DD slash YYYY
    • Please allow up to 10 business days from the date claim is received for resolution

    US DOT #: 2586700

    MC#: 906669

    Zip Moving and Storage 8620 Dakota Drive Gaithersburg, MD 20877

    (855) 947-6543

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