Released Value Protection

Name

First

Last

Phone

Move Date

Name Of Move Co-Ordinator

Please Upload Your Signed Contract (PDF File Only) *

Drag & Drop Files, Choose Files to Upload

List The Items That Have Been Damaged?

Please Upload Pictures Of Your Damage

Drag & Drop Files, Choose Files to Upload

Please include a reference link of the damaged item from a reputable shopping website (such as Amazon, BestBuy, etc.) to help us better understand the nature and value of the damaged items.

If multiple damaged items, please share other links here.

Total Weight Of All Damaged Items (in LBS)

Please Sign: You have fully understood and read the Damage Claim cover mentioned in your contract and confirm the claim being submitted is within the damage cover.

Clear Signature

Please Sign: You understand that your claim will be automatically declined if you are reaching out to Rio Moving more than 48hrs later than your move day

Clear Signature

Please Sign: You understand that your claim will be automatically declined if you are submitting a claim for scratches, dents, knicks, tears, rips etc

Clear Signature

Please Sign: You understand that your claim will be automatically declined if you are submitting a claim for damage to property, like paint scratches, damaged wall, damaged lawn ornaments etc.,

Clear Signature

Please Sign: You Acknowledge and understand that if any information has been falsified and if any disputes are filed due to decline of claim, You provide Rio Moving the right to place a Lien on your property to recover funds.

Clear Signature

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