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CLAIMS REPORTING FORMS

Transportation Loss Notice

This form gives you the ability to report a Auto/Truck Liability or Physical Damage Claim. In addition this form needs to be completed, when an auto or non-auto related claim occurs to the customers physical property (i.e. carpet/hardwood floor damage claim, driveway damage, stairway damage, etc.)
PDF version
Word version

Presentation of Loss and Damage

This form is designed to be downloaded and printed. It needs to be completed when an Inland Marine Cargo/Warehouse Legal Liability Loss has occurred. In addition to this form, our office will need the following information: A copy of both sides of the Bill of Lading or Warehouse Receipt involved in the loss, a copy of the inventory information, and a copy of the shipper’s loss or damage form (if applicable). Please send to fax# 707-252-5905 or send this information to Claims via email: claims@moverschoiceinfo.com.
MC version (PDF)

Business Property Claims Reporting Form

This form gives you the ability to a report a Business Personal Property or Real Property claim directly on our website.
Business Property Claims Reporting Form

General Liability Claim Reporting Form

This form gives you the ability to report a General Liability claim directly on our website.
General Liability Claim Reporting Form

Workers Compensation On-Line Claim Reporting

Zurich has developed a short video tutorial on how to report workers compensation claims using their online web portal.
More Information