Claim Form: Household

Statement of Claim
Customer Information
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This claim form is for household goods transported under an Allied Bill of Lading and properly assigned shipment number. If your shipment moved within Canada, click here.

In order to complete your claim, you will need to reference your copy of the following items. A valid shipment number, state of origin and state of destination are required to proceed.

  1. Household Goods Carrier's Bill of Lading. Shipment # located in the upper right hand corner of your Bill of Lading.
  2. Household Goods Descriptive Inventory. (Damage Claims Only)

If you have questions as you file this claim, you can call us at our toll free number for assistance. You'll have the opportunity to print your claim after you submit it.

* - Indicates a required field.

Your First Name *   
Your Last Name *   
Email Address *   
Confirm Email Address *   
Your shipment number - 6-digit (U.S.) or 7-digit (Canada) *   
Origin State/Province * 
Destination State/Province *