Statement of Claim
ALL LOSS AND/OR DAMAGE MUST BE ON THIS FORM. NO ADDITIONAL CLAIM ACCEPTED. To properly expedite your claim all requested information must be included. Photos and receipt of purchase will be required to process claim as well. The limit of liability as noted on your order for service is capped at sixty cents per pound per article for missing and/or total loss items only.
2950 e Mohawk Ln #100, Phoenix, AZ 85029
Phone 602-923-6400 / Fax 602-923-6403 / email: firstname.lastname@example.org
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