Online EstimateRead Customer Reviews

We are sorry you have found it necessary to report a claim. JTMS attempts to settle all claims in an equitable and timely manner. We appreciate your cooperation in filling out the form. Upon receipt of the form, a file will be established and assigned to an adjuster. You should receive a letter, call or an e-mail, within 3 weeks of receipt of the claim form in acknowledgment.

General Instructions:

A. Please retain the damaged articles, inlcuding shipping cartons. These items must be available for inspection.
B. Complete the top portion of form thoroughly. Include zip codes with addresses and area codes with telephone number. Please give us the phone numbers where you can be reached during normal business hours.
C. Complete all columns for articles claimed:
  1. Not providing Inventory Numbers may delay the processing of your claim.
  2. Give a brief description of article claimed including make and model number if applicable, (COFFEE TABLE, TV-XYZ, MODEL 123).
  3. Describe the extent, location and nature of damage, (SCRATCH TOP RIGHT EDGE, OR LEFT REAR LEG BROKEN).
  4. Indicate the article's replacement cost today for the same, or similar articles.
  5. Enter the amount you are claiming in settlement. The CLAIM FORM is not complete without this amount.
  6. If the claimed item was packed, please indicate whether the carton was damaged by marking YES or NO in the appropriate column. This information is important since we allocate responsibility to the party respponsible for the reported damage.
D. If more form fields are required, click the "Add Another Claim" link
E. Be sure all unpacking has been accomplished, and all items checked, before submitting claim.
F. Do not have any items repaired unless we advise you to do so.
Name *
E-mail Address*
Home Phone
Office Phone
   

New Address
Address
City
 State Zip Code
Delivery Date   
 

Old Address
Address
City
 State Zip Code
Pick-up Date
 
Did Employer Pay For Move? Yes No Employed By
What Was The Declared Value Protection? $0.60 lb $1.25 lb Full Value Protection
Was Shipment in Warehouse? Yes No
Inventory Number
Article Weight
Article Description
Description of Loss/Damage
Date of purchase
Cost to Replace
Amount Claimed
Carton Damaged Yes No
I am the owner of the property described. I did not cause or contribute to the damage set forth herein. 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. DOT regulations require that any claim for loss, damage or delay must be submitted in writing by claimant and received by carrier within 9 months from date of delivery.