Clients Information

Name *

First

Last

Email *

Phone *

Address or Address's where damage happened *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Damage Information

As much details as possible will help the insurance company process your claim within their policy.

Item or items Damage Information

Do you have a receipt for the item/s? *

YES
NO

If you clicked ” NO ” – By having a receipt it helps insurance find your fair market value of what the item is worth today.

Who caused the damage? *

First

Last

This will help us gather the most accurate details as to what happened, To put a detailed claim together for insurance.

Date/s of Purchase

This will provide insurance with detailed information on the item

Website link/s to the item that was damaged

Click which coverage you are receiving *

.60 per pound
$1 per pound
$2 per pound

Bottom of page 3 of bill of lading

Do you understand our insurance base coverage is .60 per pound for ( non usable / loss condition ) *

YES
NO

If you clicked ” NO ” – All Canadian cargo insurance holders must provide a base coverage of .60 per pound.

Do you understand all approved damage claims start with a repair method first? *

YES
NO

If you clicked ” NO ” – Insurance does not replace a item with a new one unless they are in ” Non usable / Loss Condition “

Have you completed a before and after full walkthrough with the crew ? *

YES
NO ( This will cause a denial of claim )

If you clicked ” NO ” – We will submit your claim on your behalf but insurance will decline the claim.

* Its the clients responsibility to proceed with this step ( Some clients refuse and we cant force a walkthrough )

Do you understand that all claims are estimated by " fair market value " *

YES
NO

If you clicked ” NO ” – The Insurance company will look at the ” Loss ” item if the falls under that category. Then they will calculate how old the item is, The previous damage to the item to determine its ” Fair Market Value “

Do you understand press board ( particle board ) is not covered by the insurance company? *

YES
NO

If you clicked ” NO ” – The Insurance company doesn’t cover this product as its a assemble and not move type of item. The product is unfortunately not made to be moved and disassembled countless times.

You understand Antiques/ art is not covered by the insurance company? *

YES
NO

If you clicked ” NO ” – The insurance company does not cover these items as antiques are priceless to some people and not to others. It’s extremely hard to come up with a worth. This is why we ask clients to move these items in their personal vehicle

Do you understand that electronics are not covered under the insurance policy? *

YES
NO

If you clicked ” NO ” – The insurance company does not cover any electronics as most damages are internal. Sometimes you cant see damage. Therefore they wont cover these items as they are problematic. This is why we ask for these items to be moved in your personal vehicle

You understand that packed boxes by clients or third party are not covered by the insurance company ? *

YES
NO

If you clicked ” NO ” – The insurance company does not cover client packed items. Packing for a move its very important to use bubble wrap, Lots of paper etc. Therefore they wont cover a third party packing of boxes. But they do cover our packing!

What was this items condition before movers came? *

New ( Please provide pics and proof of receipt )
Used condition ( Scratches, Wear etc )
Old and damaged

Having a photo, Reality company photos etc of this item being in the condition you stated above will help drastically in having your claim accepted by the insurance company.

Do you understand that insurance handles all claims ? *

YES
NO

If you clicked ” NO ” – Insurance handles all payouts, decisions, repairs etc. Take a load off moving does not subtract from the invoice or reimburse the client ourselves

Have you and the crew signed off on the damages ( Page 4 of bill of lading ) *

YES
NO

If you clicked ” NO ” – Its very important to have the damages you found on the 4th page of the bill of lading and signed by both parties. Failure to do so could result in a denied claim by the insurance company.

Do you understand the FULL terms and conditions, Insurance coverages and damage policy has been provided to you via email and signed upon in person. *

YES
NO

If you clicked ” NO ” the documents were sent Via email with the estimate. And were agreed upon over email when confirmation of booking was made. And provided again in person today. If you have any questions feel free to give us a shout!

File Upload

Click or drag a file to this area to upload.

Please provide the receipt of the item damaged, Photos of the damages, please be clear and more photos the better!

Details of Claim/s *

By clicking ” Submit ” you are agreeing that these statments are truthful, honest and accurate.

This claim falls under Take A Load Off Moving LTD. & our insurance companies policy.

If our Terms & Conditions and damage policy is not followed. The insurance company may deny your claim.

Please follow the damage policy ( 4th page of Bill Of Lading in RED writing )

Does the crew agree to your damage claim listed above? *

YES
NO

If you clicked ” NO ” – Its our first priority to provide you with the best coverage as possible!. We are sincerely sorry this damage has happened. Our crew cares about assisting you with your claim so you can be compensated fairly. Its very important the client and crew are on the same page so the claim statements match for acceptance by the insurance company.

Signature of client *

We care!

Thanks for filling out the damage form, Again we are so sorry!. Please note it takes 14 days or more to gather your claim, the statements from crew, photos, proof and any other details to submit your claim properly, And then about another week to hear back from insurance. We will respond to you as soon as possible. Please note the delay of time does not mean your are not our top priority! We are working to make sure you get handled properly!

Thank you

Take a load off moving ltd.

Damages :(