For International Claim Forms Click Here

TO FILE A CLAIM ON YOUR LOCAL, INTRASTATE OR STORAGE SHIPMENT PLEASE COMPLETE THE FORM BELOW.

Please remember that it is necessary to provide all of the information requested to quickly and fairly resolve your claim.

Matthew Moving makes every effort to accomodate its customers in a timely and helpful fashion. We hope to resolve any claims you may have in the best manner possible.

These forms are here for your convenience, but you can always contact the Matthews staff with any questions you may have about this form or the claims process.
Name: Work Phone:
Registration Number: Fax Number:
Home Phone: E-mail Address:
Moved From Address:
Street: State:
City: Zip Code:
Moved To Address:
Street: State:
City: Zip Code:
Present Address (if different from moved to address):
Street: State:
City: Zip Code:
Other Information:
Load Date (dd/mm/yy): Was shipment in storage? yes no
Delivery Date (dd/mm/yy): Type of valuation selected:
Total Cash Value of belongings Transported and/or Stored: ( Continue form below )

Description of claim Instructions:

  • All claims must be submitted within five (5) working days (Mon-Fri) from delivery or your belongings.
  • Matthew Moving Company or it's claims representative reserves the right to request a sworn statement as a condition precedent to claim settlement.
  • Matthew Moving Company or it's claim representative reserves the right to inspect any or all items claimed within a reasonable time. Do not proceed with repairs or replacement until we have had an opportunity to examine your completed statement of claim and determine the course of action necessary.
  • ACTUAL CASH VALUE OF ENTIRE SHIPMENT-Estimate to the best of your ability the cash value of your entire shipment at the time it moved. Consider the present day replacement cost less depreciation.
  • In the absence of external damage or other proof, the Matthew Moving Company is not liable for mechanical or electrical malfunction of washers, dryers, refrigerators, television sets, stereos, computers, electronic equipment, etc. These items often fail for reasons other than transportation, or from vibration incident to transportation. Proper servicing before and after shipping is the customer's responsibility. Until and unless Matthew moving Company acknowledges liability, service calls to inspector repair said defects are at the risk and expense of the customer.
Statement Of Claim
Inventory Item # Article (Description of Item) Nature of Claim Date Purchased (mm/dd/yy) Cost Amount Claimed
If a checklist was prepared, each item on your shipment carries a tag indicating the item number. if you can not identify the item from the tag, do so from your copy of the checklist Describe each item carefully. If missing items are claimed, identify by color, size, pattern, manufacturer or brand name, etc. Identify contents of containers as accurately and completely as possible. Indicate if the cartons were packed by you or by Matthew Moving company Indicate type, severity and location of damage Indicate date of your original purchase. If the item purchased was used, so indicate List the purchase price you paid for the item Indicate the cost of reaonable repair or replacement, considering age, actual cost and pre-existing damage to item
1.
2.
Inventory Item # Article (Description of Item) Nature of Claim Date Purchased (mm/dd/yy) Cost Amount Claimed
3..
4.
Inventory Item # Article (Description of Item) Nature of Claim Date Purchased (mm/dd/yy) Cost Amount Claimed
5.
6.
Inventory Item # Article (Description of Item) Nature of Claim Date Purchased (mm/dd/yy) Cost Amount Claimed
7.
8.
Inventory Item # Article (Description of Item) Nature of Claim Date Purchased (mm/dd/yy) Cost Amount Claimed
9.
By submission of this claim I acknowledge the following:
  • All statements made in this statement of claim and any attached documents are true and correct to the best of my knowledge and belief, and constitute my complete and entire claim. No material information has been withheld.
  • I am the owner of the property described. I did not cause or contribute to the damage set forth herein.