| INSTRUCTIONS TO CLAIMANT |
1. Type full particulars to the best of your knowledge.
2. Any articles found damaged must be kept available for inspection (including containers).
3. In describing articles give as much information as possible such as color, kind of material, model numbers, trade/name, manufacturer, etc.
4. Complete all spaces thoroughly to avoid unnecessary delay in concluding your claim.
5. Filing deadlines for interstate moves are 9 months from the date of delivery. In certain cases filing deadlines may be shorter for Intrastate and local moves. Check your bill of lading or call our office for specific information on your move.
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You can call 800-231-0173 to talk to someone in person, if you have
questions about filing this form or need other assistance.
You will receive an e-mail confirmation after you send in the form.
Save any damaged items: in the event an item is damaged, save the item
and the carton it was packed in for inspection.
Unpacking claims: As you unpack your goods, please call your Boulevard
coordinator if you should notice any items with damage. | |
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What Was Declared Value Protection?
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Please list all items. Click underlined items for help. When you are finished entering and item, click "Update/Enter Item". Continue to add items in the same manner until you are finished. When you have finished adding items, click "Continue" at the bottom of this page. YOU MUST ENTER AT LEAST ONE ITEM TO SUBMIT A CLAIM ON-LINE.
NEED HELP? - Please call 800.879.1283 and ask for the Claims Department
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| Tag/Inventory # |
Item Description |
Loss or Damage |
Original Cost |
Date |
Amt Claimed |
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| TOTAL |
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Remarks
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