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Kearney Moving
​Local & Intra-State Claim Form
This form gives you a maximum of 3 entries.  Resubmit more claims by completing another form if necessary.   Any damage that you are claiming will be evaluated by our claims department and will be subject to the coverage you selected.  For example: if you did not purchase full coverage for your move you will not receive full coverage.  For detailed description of claims regulations click here. 

    Claim #1

    Describe the item that you are filing a claim for.
    Remember you cannot receive more than the coverage you chose will allow
    Describe the damage to the item.
    Please upload up to 4 pictures of the damage you are claiming on this item.
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB

    Claim #2

    Describe the item that you are filing a claim for.
    Remember you cannot receive more than the coverage you chose will allow
    Describe the damage to the item.
    Please upload up to 4 pictures of the damage you are claiming on this item.
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB

    Claim #3

    Describe the item that you are filing a claim for.
    Remember you cannot receive more than the coverage you chose will allow
    Describe the damage to the item.
    Please upload up to 4 pictures of the damage you are claiming on this item.
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
    To send this claim to the Kearney Moving claims department please press submit.
Submit

If you need to include additional items please follow the link below
Claim Form
 


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