Claim Form

Berger Transfer & Storage

2950 Long Lake Road | St. Paul, MN 55113

Toll Free 877-268-2101 | 651-634-3434 | Fax 651-697-6287

*Required Field Click Here for Complete Instructions

*First Name:
*Last Name:
*Address:
City: 
State/Province: Zip
*Registration/Order Number:
*Home Phone:
Work Phone:
Cell Phone:
Fax:
E-Mail:

Is the above address the same one the goods were delivered to? 
Yes   No

Were the goods stored in a warehouse?
Yes   No

Inventory item number
(If unknown, enter the number 0)		 Description of article Enter "Missing" or a description of damage Cost when originally purchased Replacement cost today
Enter "Repair" or amount claimed
(Enter "REPAIR" /  dollar amount claimed or "UNKNOWN")