Claim Form - M25 Movers

Order No*

Description of item

Nature of loss or damage

Year of purchase

Original purchase price

Value at time of loss

Amount claimed

Was the loss or damage noted at the time of delivery?*

Yes
No

When was it discovered?

Items notified to us more than seven days after delivery will not be considered. Your claim must be based upon the value of each item at the time of loss or damage, allowance being made for age, wear and tear. You must only clam for the cost of making the item good; you cannot claim a brand new item. You should obtain traders estimates for repair, where applicable, and send them with the claim form to us within seven days with your claim.

Upload items

Summary

I've, being the person(s) named overleaf, declare that the information provided in this claim form is true and properly completed to the best of my/our knowledge and belief. I/We understand that if any part of this claim is in any respect fraudulent, all benefit shall be forfeited and action may be taken against you. We may share your details with other parties to assist with handling of your claim, if you're not in agreement with us passing your details on please inform us submitting this claim form.

Notes

Signature*

Date