Claim Form : Instruction

INSTRUCTIONS FOR FILING CLAIM FOR LOSS OR DAMAGE

 
  These instructions will simplify your task of completing the claim form. If you have any questions contact us at the address below.
For shipments moving within U.S. or between U.S. and Canada:

Berger Transfer & Storage, Inc.
Claim Department
2950 Long Lake Road
St. Paul, Minnesota  55113

Phone: 651-634-3431 or Toll Free: 877-268-2101
Fax # 651-697-6287
Mon. - Fri., 7:30 - 4:00 (CST)
CorporateClaimsForms@berger-transfer.com

Before presenting a claim for loss or damage, review the terms and conditions in the last paragraph on the back of the Household Goods Carrier's Bill of Lading and Freight Bill. Please note the time limitations governing the filing of a claim.
  In all cases keep damaged articles (including shipping containers) for inspection. Arrangements will be made to inspect and estimate damage to the articles you have claimed.
  To fill out this Statement of Claim for Loss and Damage you will need to reference your copy of the following items:

a. Household Goods Carrier's Bill of Lading and Freight Bill.
b. Household Goods Descriptive Inventory.
 
 

Registration Number:
This number (5-digit for Canada, 6-digit for U.S.)  may be obtained from the upper right hand corner of your Bill of Lading, or you may use the eight digit Berger Order Number. If you do not know your registration number, or are unable to locate it, please consult your move coordinator or the Berger Claim Department.

Customer Name:
If you are filling out the form but are not our customer, please enter your first and last name and then the customer's first and last name.

Present Address:
Enter your present address, city, state/province and zip/postal code.

Telephone Number:
Enter telephone numbers where you may be contacted, include home and business telephone numbers (include area codes.) Give work extension number. Also, if you would like your cell phone to be an option for us to contact you, you may enter your cell phone number with area code.

 

Inventory Item No.:
Refer to your inventory sheets and locate the item claimed on the inventory list. If the item was packed in a carton, find the carton it was packed in on the inventory list. The inventory item number is the number in the far left column for the item claimed. List this specific item number that is assigned on the inventory listing.

Description of Article:
Enter the description of the article you are claiming. Include any descriptive information such as model number, name of manufacturer, brand name, etc., if available

"Missing" or Damage Description:
Place the word "missing" in the box if the item claimed was lost from your shipment. If damage occurred to the item, describe the nature and extent of damage to the article.

Cost When Originally Purchased:
Enter the original purchase price of the item claimed. Give your best estimate of the cost if you do not specifically recall the price when purchased. If purchase receipts are available, submit them in support of your dollar figure.

When/Where Purchased:
Enter the date when purchased and the name of the store and location where purchased, if available.

Repair/Amount Claimed: Please check "Repair" or "Amount Claimed". If checking Amount Claimed enter dollar amount. All dollar amounts claimed will require substantiation.