Broward * Miami-Dade * Palm Beach
Required to reimburse you only sixty cents ($.60) per pound/per article. If you have a 50 Pound television set worth $300 and it is damaged or lost, you are only entitled to a maximum reimbursement of $30, unless you purchase additional coverage.
(Please initial your choice–on the date of the move)
______I accept the standard coverage of $.60 per pound/per article
______I prefer additional coverage as clearly defined in the contract-for an additional
fee as specifically itemized in the contract.
I approve of the total moving contract price of $_________________________
which includes all inventory preparation, labor, transportation, packing materials/costs, storage and any additional valuation coverage. The final cost cannot exceed the written estimate by more than ten (10%)percent (as long as there are no additions on the day of the move).
_______________________________ _____________ ____________
Customers's Signature Date Time Signed
_______________________________ _____________ ___________
Mover's Signature Date Time Signed
If you have concerns about any move that began and ended in Broward, Miami-Dade or Palm Beach County and not resolved by your moving company, please contact the appropriate consumer protection agency where your move ended.
Consumer Affairs Div
Consumer Services Dept
Consumer Affairs Div.
115 S Andrews Ave
140 West Flagler St
50 S Military Trail
(561) 712-6600 (Main)
This disclosure form must be provided to the consumer with the written estimate. The form must be signed by the customer and moving company prior to any work being performed. Original copy to the customer.