Please fill out the information and send it back to us either via mail, e-mail, or fax at:

Miami Movers Inc.

12885 NE 14th Ave

North Miami, FL 33161

Fax: 305.981.7670

customerservice@miamovers.com

Again, thank you for your business and we hope that you think of us in the future.

Miami Movers
Moving You Forward

1. Type in full particulars to the best of your ability.
2. Any articles found damaged must be kept available for inspection (including containers).
3. If you already have any estimates for damage claimed, please submit with form.
 
Full Name:
E-Mail Address:
Origin City & State:
Order Number:
Street Address:
City, State, Zip:
Home Phone Number:
Business Phone Number:
Delivery Date:
Coverage:
   

Inv. #
 
Article
 
Nature of Claim (Loss, Damage/ Describe)
 
     
Est. Weight
 
Lbs 
Date Acquired
Original Cost

$ 
 
Present Value
 
$ 
 
Amount Claimed
 
$ 
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Inv. #
 
Article
 
Nature of Claim (Loss, Damage/ Describe)
 
     
Est. Weight
 
Lbs 
Date Acquired
Original Cost

$ 
 
Present Value
 
$ 
 
Amount Claimed
 
$ 
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Inv. #
 
Article
 
Nature of Claim (Loss, Damage/ Describe)
 
     
Est. Weight
 
Lbs 
Date Acquired
Original Cost

$ 
 
Present Value
 
$ 
 
Amount Claimed
 
$ 
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Inv. #
 
Article
 
Nature of Claim (Loss, Damage/ Describe)
 
     
Est. Weight
 
Lbs 
Date Acquired
Original Cost

$ 
 
Present Value
 
$ 
 
Amount Claimed
 
$