2 College Brothers Claim Form
Claim Number Auto Populates. Any fields with with red * Asterisk are required.
Your Claim Number
*
Customer Information
Please provide the contact information that was used to schedule your move.
Your Name
*
Phone Number
*
Your Email
*
Date of Move
*
-
Month
-
Day
Year
New Address (Address of Relocation)
*
Nature of Claim
*
Damaged Items
Property Damage
Timeliness
Damaged Furniture
Missing Items
Other
If *other, please explain
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Item / Article List
Please provide a complete list of the items or articles being referenced in the claim.
Inventory List
Requested Total Dollar Value of Claim
Please provide us with the total requested dollar value of the items listed on the claim.
Upload Item #1 Documents (Images of damaged items, receipts, etc)
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Please provide as much supporting documentation as possible including photographs of damaged items, description of damages and receipts. In the event no receipts are available the burden will be upon the owner of the items to provide proof of value. 2 CollegeBrothers reserves the right to make a final determination with regards to value.
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Upload Item #2 Documents (Images of damaged items, receipts, etc)
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Please provide as much supporting documentation as possible including photographs of damaged items, description of damages and receipts. In the event no receipts are available the burden will be upon the owner of the items to provide proof of value. 2 CollegeBrothers reserves the right to make a final determination with regards to value.
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Upload Item #3 Documents (Images of damaged items, receipts, etc)
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Please provide as much supporting documentation as possible including photographs of damaged items, description of damages and receipts. In the event no receipts are available the burden will be upon the owner of the items to provide proof of value. 2 CollegeBrothers reserves the right to make a final determination with regards to value.
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Upload Item #4 Documents (Images of damaged items, receipts, etc)
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Please provide as much supporting documentation as possible including photographs of damaged items, description of damages and receipts. In the event no receipts are available the burden will be upon the owner of the items to provide proof of value. 2 CollegeBrothers reserves the right to make a final determination with regards to value.
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Upload Item #5 Documents (Images of damaged items, receipts, etc)
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Please provide as much supporting documentation as possible including photographs of damaged items, description of damages and receipts. In the event no receipts are available the burden will be upon the owner of the items to provide proof of value. 2 CollegeBrothers reserves the right to make a final determination with regards to value.
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of
Upload Item #6 Documents (Images of damaged items, receipts, etc)
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Please provide as much supporting documentation as possible including photographs of damaged items, description of damages and receipts. In the event no receipts are available the burden will be upon the owner of the items to provide proof of value. 2 CollegeBrothers reserves the right to make a final determination with regards to value.
Cancel
of
Upload Item #7 Documents (Images of damaged items, receipts, etc)
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Drag and drop files here
Choose a file
Please provide as much supporting documentation as possible including photographs of damaged items, description of damages and receipts. In the event no receipts are available the burden will be upon the owner of the items to provide proof of value. 2 CollegeBrothers reserves the right to make a final determination with regards to value.
Cancel
of
Upload Item #8 Documents (Images of damaged items, receipts, etc)
Browse Files
Drag and drop files here
Choose a file
Please provide as much supporting documentation as possible including photographs of damaged items, description of damages and receipts. In the event no receipts are available the burden will be upon the owner of the items to provide proof of value. 2 CollegeBrothers reserves the right to make a final determination with regards to value.
Cancel
of
Additional Information
Please provide any additional information that is relevant to the claim. Upon agreement and submission of this form, our team will review the information provide and contact you with any questions and/or resolutions.
Additional Claim Details and Specifics.
Please provide any additional information that is relevant to the claim.
Signature
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