MAJOR/MINOR DAMAGE CLAIM FOR OUR FREE BASIC MOVING INSURANCE.  Free released value protection moving insurance is designed to assist in compensating for damage caused during the move, it is not for full replacement value unless the damage occurred during transportation as a result of a wreck/fire/flood.   

MAJOR DAMAGE DURING TRANSPORTATION (WRECK) IS INSURED FOR 100% REPLACEMENT VALUE AFTER DEDUCTIBLE. 

MAJOR DAMAGE DURING NON-TRANSPORATION IS LIMITED TO UP TO 50% OF THE BASE COST OF THE MOVE AFTER DEDUCTIBLE.  

MINOR DAMAGE IS LIMTED TO 10% OF THE COST OF THE MOVE.

STATE REQUIREMENT IS .60 CENTS PER POUND WITH NO DEDUCTIBLE OR PACKING/WRAPPING REQUIREMENTS.  (exact same insurance that two men and a truck and all moving companies must carry)

The form is to file a claim on insurance for above the state requirement, packing and wrapping requirements must have been met and the deductible will be applied.  The form must be completed, even if requirements were not met for a major damage claim, to serve as documentation for state requirement insurance.  For the state requirement, the deductible and packing/wrapping requirements are waived.