Customer Service Agreement — American Relocators, Inc.

1

Customer Information

First Name *

Last Name *

Phone *

Email *

Moving From *

Moving To *

Moving Date *

Service Type *

Home Size *

2

Permission & Parking Authorization

Permission & Parking

The customer authorizes American Relocators, Inc. to perform moving services as described and agrees to the following terms regarding access, parking, and liability at both origin and destination addresses.

Check all that apply:

Authorize use of driveway/parking area for the moving truck. Understand that minor scuffs may occur and release liability for normal wear. Will obtain any required parking permits or notify building management. Accept responsibility for parking fines/tickets due to lack of parking access.

Parking Notes / Special Instructions

Print Full Name *

↓ Name & date will auto-fill to all other sections

Date

✍ Customer Signature

3

Service Agreement & Addendum

Terms & Conditions

1. Payment: Due upon completion. We accept cash, certified check, or credit card (3% surcharge applies).

2. Delays: American Relocators, Inc. is not responsible for delays caused by traffic, weather, elevator availability, or circumstances beyond our control.

3. Fragile Items: Customers must identify fragile or high-value items before the move begins.

4. Liability: Maximum liability is limited to the declared valuation selected in Section 4. Claims must be filed within 30 days of delivery.

5. Cancellation: Cancellations within 48 hours of the scheduled move may incur a fee up to $150. Deposits are non-refundable.

6. Right of Access: Customer guarantees legal right of access to all properties and will indemnify American Relocators, Inc. against any access-related claims.

7. Governing Law: This agreement is governed by the laws of the State of Connecticut.

I have read, understood, and agree to the Terms & Conditions above.

Print Full Name *

Date

✍ Customer Signature

4

Valuation Selection

Understanding Your Valuation Options

Federal law requires all movers to offer two levels of liability. This is not insurance — it is the mover's contractual liability for loss or damage.

Full Value Protection: The mover is liable for the replacement value of lost or damaged goods. You declare a value and may choose a deductible.

Released Value: Basic protection at $0.60 per pound per article — provided at no additional charge.

Select your valuation option: *

Full Value Protection

Mover liable for replacement value. Additional charge applies — see estimate.

Released Value Protection ($0.60/lb)

Basic, no-charge protection. Limited to $0.60 per pound per article.

Handwritten Confirmation *

Print Full Name *

Date

✍ Customer Signature

5

Particle Board Furniture Acknowledgment

Particle Board & Ready-to-Assemble Furniture

Particle board, MDF, and ready-to-assemble (RTA) furniture (e.g., IKEA, flat-pack) is inherently fragile. It may crack or break during disassembly, transport, or reassembly.

American Relocators, Inc. will not be held liable for damage to particle board / RTA furniture during moving services.

Do you have particle board furniture to be moved? *

Yes

I have particle board / RTA furniture.

No

No particle board furniture.

Write Your Selection *

Print Full Name *

Date

✍ Customer Signature