Property Damage Claim Form - Olympia Moving & Storage

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Property Damage Claim Form

*Property damage claims must be filed with Olympia within 10 days from the date of delivery.

Property Damage Claim Form

Name

Name

First Name

First Name

Last Name

Last Name

Email

Phone

Move Number

Property Damage 1

Nature of Damage 1

Location of Damage 1

Origin

Destination

Property Damage 2

Nature of Damage 2

Location of Damage 2

Origin

Destination

Property Damage 3

Nature of Damage 3

Location of Damage 3

Origin

Destination

Additional Comments and Details

If applicable, you can attach any supporting documentation or photos (pdf and image files only, limit 2 MB per attachment)

Maximum file size: 2.1MB

The undersigned does hereby swear or affirm that all entries made in this Statement of Property Damage Claim and contained in the attached supporting documentation are true and correct to the best of my knowledge and belief and constitute my complete and entire property damage claim growing out of or in any way connected with the transportation or storage of my possessions. The undersigned does further swear or affirm that there have been no material facts relative to this claim that have either been withheld or misrepresented. The undersigned does hereby agree that if it is determined by Olympia Moving and Storage, that any of the above information or supporting documentation is false, or that material facts have been withheld, then this shall justify the denial of my claim by Olympia Moving and Storage.

Please enter your initials here in place of your signature to verify the above statement.*

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