File a Claim - Miracle Movers

File a Claim

Please complete this form after reviewing our terms and conditions either on the back of your invoice or at terms and conditions

Name

Email

Phone

Date

How many items are you submitting in your claim?

Item #1

Item Make and Model

Serial Number or SKU, if appliable

Nature of Damage or Loss

Approximate Weight of Item

Photos of Damaged Item, Proof of purchase, Specification sticker/sheet, etc

Item #2

Item Make and Model

Serial Number or SKU, if appliable

Nature of Damage or Loss

Approximate Weight of Item

Photos of Damaged Item, Proof of purchase, Specification sticker/sheet, etc

Item #3

Item Make and Model

Serial Number or SKU, if appliable

Nature of Damage or Loss

Approximate Weight of Item

Photos of Damaged Item, Proof of purchase, Specification sticker/sheet, etc

Item #4

Item Make and Model

Serial Number or SKU, if appliable

Nature of Damage or Loss

Approximate Weight of Item

Photos of Damaged Item, Proof of purchase, Specification sticker/sheet, etc

Item #5

Item Make and Model

Serial Number or SKU, if appliable

Nature of Damage or Loss

Approximate Weight of Item

Photos of Damaged Item, Proof of purchase, Specification sticker/sheet, etc

Item #6

Item Make and Model

Serial Number or SKU, if appliable

Nature of Damage or Loss

Approximate Weight of Item

Photos of Damaged Item, Proof of purchase, Specification sticker/sheet, etc

Item #7

Item Make and Model

Serial Number or SKU, if appliable

Nature of Damage or Loss

Approximate Weight of Item

Photos of Damaged Item, Proof of purchase, Specification sticker/sheet, etc

Item #8

Item Make and Model

Serial Number or SKU, if appliable

Nature of Damage or Loss

Approximate Weight of Item

Photos of Damaged Item, Proof of purchase, Specification sticker/sheet, etc

Item #9

Item Make and Model

Serial Number or SKU, if appliable

Nature of Damage or Loss

Approximate Weight of Item

Photos of Damaged Item, Proof of purchase, Specification sticker/sheet, etc

Item #9

Item Make and Model

Serial Number or SKU, if appliable

Nature of Damage or Loss

Approximate Weight of Item

Photos of Damaged Item, Proof of purchase, Specification sticker/sheet, etc

By checking this box, I am acknowledging that this is my full and complete claim. Once a claim form is submitted, no further claims may be submitted.

File a Claim

Please complete this form after reviewing our terms and conditions either on the back of your invoice or at https://miraclemoversutah.comterms-conditions/.

Name(Required)

First Last

Email(Required)

Phone(Required)

Date of your move (mm/dd/yyyy)(Required)

How many items are you submitting in your claim?(Required)

Utah Counties

Weber County – Utah County – Salt Lake County – Washington County – Iron County – Summit County – Davis County – Tooele County

Utah Counties

Weber County – Utah County – Salt Lake County – Washington County – Iron County – Summit County – Davis County – Tooele County

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385-378-8720

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contact@miraclemoversutah.com

Location:

2323 W Directors Row Suite 200
Salt Lake City, UT 84104

Mailing Address:

PO Box 25775
Salt Lake City, UT 84125

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