Home / Claims Claims Start a claim form. An associate will be following up with you after you submit your claim. Move Date Select Date Order Number Name Phone Email Destination Address Destination Address Zip Code Origin Address Origin Address Zip Code Remove Item 1 Item Name Estimated Weight in Pounds Present Value $ Date Acquired Select Date Original Cost $ Amount Claimed $ Carton Damaged? Carton Damaged? - No Carton Damaged? - Yes Describe Nature of Loss or Damage Add Another Item Send Claim