American Red Ball Transit Co.

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Claim Form

Please make sure you have reviewed our Claim Form Instructions before proceeding.

* Required Fields.

Carrier Order Number:*
(To file your claim on-line, YOU MUST REFERENCE YOUR CARRIER ORDER NUMBER. It is located in the upper right corner of your Order for Service or Bill of Lading.)

Name:*

Phone:*

Mobile Phone:

E-mail:*

Street Address:*

City:*

State:*

ZIP:*

Item 1

Inventory Number:* (This is found on the Household Goods Descriptive Inventory form)

Name/Description of Article:* (Appliances, electronic equipment – requires manufacturers’ name, model and serial number. China, Crystal, Statuary – requires manufacturer’s name, number, or other identification. Include colors, full description.)

Nature of Claim:* (whether damaged or missing, type of damage, etc.)

Estimated Weight:*

When was the item purchased:*

Purchase Price:*

Estimated Replacement Cost:*

Amount Claimed:*

Was the item packed properly?*

Was the carton damaged when you received it?*

General Comments:

: Questions?

Tip #9

Are you moving because of a change in employment location? If so, some of your expenses may be tax deductible. Track your expenses and keep receipts so you’ll be able to take advantage of all allowable deductions. Be sure to contact the IRS or your tax advisor for current deduction regulations.

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