Moving Confirmation Form

1. Customer & Move Information
2. Complete Contract Terms
3. Item Valuation & Replacement Coverage
4. Inventory List of High-Value Items
5. Limitation of Liability for Wood Furniture
6. Charge Agreement

Prepaid Moving Package Customers

Long Distance Move Customers

• Credit Card Information
• List of High-Value Items such as jewelry, collectibles, china, etc.
• Current Insurance Coverage for Items while Moving

Terms & Conditions of the Contract

This contract is subject to all the rules, regulations, rates, and charges in the carrier’s currently effective applicable tariffs including, but not limited to the following terms and conditions.

Item Valuation & Replacement Coverage Options

1. Minimum Release of Shipment (Required)

Furniture and possessions are covered at $.60/lb per article. Example: A 200 lb. chest of drawer is covered up to $120 (200 lbs x $.60/lb.) This is the lowest level of coverage. Additional Coverage is available.

2. Full Replacement Protection (Optional)

If you want to add additional coverage to the Minimum Release of Shipment, we offer more comprehensive coverage for you household goods. In the event an item/piece(s) is/are damaged, you pay the deductible first, then the item is either

• Repaired; or
• Replaced; or
• a Cash Settlement will be provided***

List of High Value Items

LIMITATION OF LIABILITY ON PRESSBOARD, PARTICLEBOARD, AND /OR ENGINEERED WOOD FURNITURE

Furniture manufactured from pressboard, particleboard and/or engineered wood is designed to go into a box from the manufacturer to the retailer and then to the end user unassembled. It is not constructed to withstand the normal stress of a move as an assembled unit. Most are not designed with the extra wood strictly pieces to adequately brace the unit for movement out of or into a residence, nor the normal truck vibration even I air-ride trailers. Usually chips or dents are not repairable. Surface impressions can be made on the furniture when writing on a single piece of paper. Assembly instructions frequently suggest that the connecting hardware pieces be glued in place. This does not significantly improve the structural integrity of the pieces, but does not make disassembly impossible without creating substantial, un-repairable damage.

There are three options for how your furniture will be handled during the move.

• Option 1 You choose to dissemble all pressboard, particleboard and/or engineered wood furniture prior to the move. You assume all responsibility for damage to the pressboard, particleboard, and /or engineered wood furniture, which may occur during the disassembly of the furniture.
• Option 2 You have engaged the services from another individual or company to disassemble all pressboard, particleboard and/or engineered wood furniture prior to the move. You assume all responsibility for damage, which may occur to the pressboard, particleboard, and/or engineered wood furniture during the disassembly of the unit(s).
• Option 3 You are tendering furniture constructed of pressboard, particleboard and/or engineered wood furniture fully assembled as part of your move. You understand that any claim for damage to the press wood, particleboard and or engineered wood furniture may be denied due to the inherent vice, based upon the fact that fully assembled , particleboard and/ or engineered wood furniture is inherently susceptible to damage as outlined above.

Items Not To Pack

There are rules and regulations that govern all movers to help ensure safety so it is important that you understand which items you can and cannot ship. The following list serves as a guide only on what not to pack. If you have any specific questions, contact us.

Dispose of Perishables Not Suited for Transit

This includes, but is not limited to, food and plants. Empty refrigerators and freezers for at least 24 hours before moving. Keep the appliance doors open so the appliance will dry out and prevent the growth of mold and odor.

Flammable, Corrosive, and/or Explosive Items

This list includes, but is not limited to:
Paints, Acid, Lighter Fluid, Pool Chemicals, Fertilizer, Gasoline, Poisons, Matches, Paint Thinner, Ammunition, Pesticides, Nail Polish & Remover, Aerosols, Kerosene, Liquid Bleach, Chemistry Sets, Fireworks, Motor Oil, Batteries, Loaded Weapons, Lamp Oil, Charcoal, Cleaning Fluids, Propane Tanks, and Ammonia

Miscellaneous Unacceptable Items

We assume no responsibility should these items come into our possession without our knowledge. Although these articles do not create a physical threat, it can create problems if your shipment is delayed or if some items are lost. This can be avoided if irreplaceable, sentimental items are carried with you such as:
Airline Tickets, Tax Records, Car Keys, Letters, Deeds, Financial Statements, Stamp Collections, Address Books, Jewelry, Disks, Medicine, Sterling Silver Coins, Photos and Albums, Check Books, Files, Bonds, Stocks, Personal Memorabilia, Computer Software, and School Records

Moving Notes & Special Instructions

Agreement for Charges to Credit Card

Remittance fo this form indicates an authorization on the part of the credit card holder to charge amounts authorized on orders placed to HD Auston Moving Systems LLC. The charges are for purchases of products and services associated with HD Auston Moving LLC. By indicating OPEN on the charge amount, you are authorizing HD Auston Moving Systems LLC to charge your credit card for the total amount of the invoice whether the order placed was written, faxed, e-mailed, or verbal.

After submitting this form, our moving consultant will be in touch with you shortly to confirm your full credit card information over the phone.

As indicated by electronic signature below, I agree to these terms.