Service Warranty Claims
General
Job Name
Job Date
Pickup Suburb
Pickup State
Driver
Person who booked the job
Person making the claim
Warranty purchased: (tick below)
Purchase Date
Gold (Furniture + Electrical items + Walls/floors + Inspected boxes)
Silver (Furniture + Electrical items + Walls/floors)
Bronze (Furniture only)
No Warranty
Email Address:
Furniture
Furniture items claimed (Gold, Silver, Bronze):
1.Make
Model?
Purchase Date
Place of purchase
2nd Hand value: $
Wrapped?
By Owner
By Citymove
Not wrapped
2.Make?
Model?
Purchase Date
Place of purchase
2nd Hand value: $
Wrapped?
By Owner
By Citymove
Not wrapped
3.Make?
Model?
Purchase Date
Place of purchase
2nd Hand value: $
Wrapped?
By Owner
By Citymove
Not wrapped
List any attached supporting documents attached
Electrical
Electrical items claimed (Gold, Silver):
1.Make
Model
Purchase Date
Place of purchase
2nd Hand value: $
Wrapped?
By Owner
By Citymove
Not wrapped
2.Make
Model
Purchase Date
Place of purchase
2nd Hand value: $
Wrapped
By Owner
By Citymove
Not wrapped
3.Make
Model
Purchase Date
Place of purchase
2nd Hand value: $
Wrapped
By Owner
By Citymove
Not wrapped
List any attached supporting documents attached
Property
Property damage claimed (Gold, Silver) :
List any attached supporting documents attached
Which Property incurred damage?
Old
New
Both
Did/Do you own or rent the property ?
Own
Rent
Others
Please provide Real Estate Agents Contact Details:
Items
Items in inspected boxes (Gold):
ServiceWarrantyClaims
List any attached supporting documents attached
Purchase Date
Place of purchase
2nd Hand value: $
Please fill out below any expectations that were not met and how. These do not need to relate to damage. Your feedback is important to us:
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