Home
Request a Quote
Moving Services
Storage Services
Industrial Services
Track a Shipment
About Scobey
Links
Careers
Contact Us
Claim Form
 
 
 
Company Information
Scobey & International M & S
PM Solutions/Resolution Services
3298 E. Fruitvale Court
Gilbert, AZ 85297

 Tel: 480 664 0459
Fax: 480 664 2965
pmsolutions@cox.net
Customer Information

Customer Address
     

Customer Contact

Shipment Information
Was Shipment in Storage: If Yes, Facility and Location:

Claim Information
Valuation Declared $.60 lb/article ECP Deductable
DVP $1.25lb lump sum
 ECP No Deductable
Did Employer Pay for Move: If Yes, name of Employer:
 
*Note if any item is repairable but you will accept a nominal cash allowance instead of repairs, enter the amount you feel represents this repair cost. If repairs are requested enter the word, " repair " in the comments block below. Because inspection may be required, do not dispose of any goods until completion of the claim.

comments

Item No. Desc. of Article Missing or Damaged Desc. Item Weight (lbs) Where & When purchased (new or used) Original Cost Cost to Replace Amount Claimed
Please type your name below; This will be your electronic signature. (date format is mm/dd/yyyy)
Date:  

Please complete this form and submit as many times as necessary for additional items.