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VALUABLES INVENTORY FORM

Please fill out the form completely, listing all of your items of value.

  • If you wish to have additional liability coverage applied to your move, you must list all items of high value to include furniture that are valued over $1000 as well as items we will be packing that are valued over $300. This information is required so that we can properly insure your items with our carrier as well as let the crew know which items need to be handled with extra care and precautions.
  • If you do not wish to have additional coverage applied but would like to point out items of interest whether it be valued items or sentimental items, you may do so by listing the items within our valued items list. If you do not wish to have additional coverage, leave the “declared value amount” at zero.
  • NOTE: All items will be wrapped and protected regardless of being listed however in order to apply additional coverage this form must be filled out per our insurance provider. As for those not seeking additional coverage, this allows the crew to understand what items you wish to have wrapped & protected above and beyond.

 

    Customer Information

    Address at Origin




    Phone Number

    Date of Move

    Valuables Inventory List

    Please complete one line per item. Press the plus sign to add additional items.

    List the total value you wish to declare

    Approval


    I hereby confirm this list of articles with values attached has been completed by:



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    About Us

    Northshore Moving Company helped hundreds of families have a smooth transition process from start to end. We offer various services that fit your needs. From residential to long-distance moves, storage and specialty services we got you covered!

    DOT: 2034397
    MC:
    714199
    LPSC:
    7648-A

    Contact Us

    Northshore Moving Company

    Address: 44212 Stein Rd Hammond, LA 70403

    Contact Us:
    985-705-6643 - Northshore
    504-579-4663 - Southshore
    337-789-9999 - Acadiana/ Baton Rouge

    Operating Hours:

    8:00AM-6:00PM M-F
    8:00AM-5:00PM Sat
    9:00AM-4:00PM Sun

    Northshore Moving Company